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HomeMy WebLinkAbout0032460-Building J �FO � CITY OF OSHKOSH N°_ 32460 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���� �a��� `'" ' PLAN NO. OWNER �G�� � ��/✓/LGZ Lif.- DESIGNER USE/NATURE OF WORK �//� ,r��,.T�/���'X !i1^'�.,LfJ'�/k-�'��'�'� " BUILDING CONT'RACTOR �� � Size Sq. Ft. # Rooms # Stories ( Height . Foundation ��`'��°�-- Class of Const. o 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 � . FEES: Valuation $ ��0� O O Permit Fee Paid $ ��"Q v Park Dedication $ ISSUED BY��,[-e��� Date � /�/ 'c!-� Final/O.P. s��7" �� 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#