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HomeMy WebLinkAbout1995-Building (misc. exterior); /�� ` No^ - 43448 4 � CITY OF OSHKOSH � `' PERMIT - APPLICATION AND RECORD ` TYPE: BLDG (� HTG ❑ ELEC ❑ PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT v � �� W , ,��� - -��� - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS PLAN NO. � OWNER �/ ►'! lCM/1�Z � �l7N�J l C�� CI�U�.+T� DESIGNER USE/NATURE OF WORK � ` �}��L c�/ Sf Df� vI � � j�2o�ur' N� pE � �� %��QAS c� F�t�i .Si.Q�'� � �lUS;/�(. 1�c1�ZrcxZ f��r►��?s��cs ¢ t���tQ✓2,atc-5 �(�v�vsQL �qU� ST /Q�`'� �f S'r �>tD l N f3�S��t�1�T /c�('.��rr�T � � .v44�c� A�C/ �- siu�� n BUILDING CON7RACTOR �C�lC%C=-� Size Sq. Ft. # Rooms # Stories Height ; Foundation Class of Const. � Occupancy Permit_�r ;; HFATWC� CnNTRACTnR I' ' Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S ELECTRIC C�NTRACT�R � 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 Q�- Q'= �_� FEES: Valuation � �° Permit Fee Paid $ � ` Park Dedication $ ISSUED BY Date ���al�� Final/O.P. _ In the performanc of this work I agree to pertorm all work pursuant to rules governing the described construction. r SIGNATUR Z S AGENTiOWNER DATE � J � �/-38�6 ADDRESS � �-"� �` TE�EPHONE�