HomeMy WebLinkAbout0019262-BuildingCITY OF OSHKOSH N° 19262
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PERMIT APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS— C2 /13 / PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
S;i.2.
BUILDING CONTRACTOR
Size Sq. Ft. _403 2i # Rooms S # Stories Height
Foundation 601rlI Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT
WH
Disp
WSoft
CBasin
Lav
Sh
DW
DF
San. Sewer_
WC
FDr
SP
Ur
Storm Sewer
Sink
LTub
Eject
SS
Water
Other
50 000 0
FEES: Valuation Permit Fee Paid $r15S 'CO0 Park Dedication $ /00.0 a
ISSUED BY Date / �S/ / d Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #