HomeMy WebLinkAbout0019563-Building (raze metal storage bldg) ,
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� CITY OF OSHKOSH N° 19563 '
`' PERMIT — APPLICATION AND RECORD
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TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ✓� �' / '�"� ��"t� PLAN NO.
OWNER �a ����^P�--'"
DESIGNER
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USE/NATURE OF WORK �� � U � � J e � l�-�rr1.t1 i
BUILDING CON�"RACTOR r '— �N`c��,�ei�s
Size Sq. Ft. # Rooms # Stories Height
Foundation 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
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FEES: Valuation $ ��r�'*—" Permit Fee Paid $ �' � Park Dedication $
ISSUED BY��/,Id-C.�i�✓-�� Date �7/��� 0 Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ��'% C7
AGENT/OWNER DAT �.
ADDRESS _��sL1,�l
TELEPH EON S �
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+ EEC08D OF SEWEII AND WATEA DISCONNECTIONS �
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Date � �� -1`Q �
Address of Building �5 � U✓ �
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Name of Owner � £
Address of Owner ����� �C�'C.
Sewer Sealed at Property Line 19 by
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Water Disconnected at Property Line 19 by r
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No sewer and water services to premises. �
I, the undersigned, owner or agent of the above described property,
agree that all sewer and water services wil,�b disconnected and
seal�d by a master plumber on or before
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, � Owner ?,gent� �
Approved for issuance of wrecking or mov ng permit.
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