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HomeMy WebLinkAbout0027296-Building (code corrections) /� CITY OF OSHKOSH N° 27296 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��I�/�) 7,�d`��.Cr PLAN NO. OWNER M DESIGNER USE/NATURE OF WORK � �(�{ + ` ^ � � BUILDING CON�'RACTOR D�,ft�L(�( 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 FEES: Valuatio $ �• Permit Fee Paid $—,��� �' � Park Dedication $ ISSUED BY ` Date a � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE� � v AGENT/OWNER � DATE ADDRESS TELEPHONE#