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HomeMy WebLinkAbout0039455-Building (garage conversion) ' � ! ��� � ' N° 39455 � _ CITY OF OSHKOSH PERMIT APPLICATION AND RECORD TYPE: BL-DG�TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS bn�– '�'"p - PLAN NO. OWNER K-��' � �0-� � DESIGNER USE/NATURE OF WORK � S N r–Sc�ct� ��°�` �, � i C- Q,� � � BUILDING CONTRACTOR �c�v�ea-C�; Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. � Occupancy Permit��0�— HEATING CONTRACTOR ��" rc.j�– Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR .C�C�� 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: Valuatio �$ Per ' Fee Paid $ ,�' �° Park Dedication $ ISSUED BY Date '► l� �[ T Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � \' .�, � `J �G - � AGENT/OWNER DATE ' ADDRESS /��v�5� L-�i � /-�2-�,� �3/ –�21i5/ TELEPHONE#