HomeMy WebLinkAbout003498-Building (raze garage) n CITY OF OSHKOSH N°_ 30498
`' PERMIT - APPLICATION AND RECORD
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TYPE: BLDG HTG ❑ EL C ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ���� ��• v �`'` � PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK s� �a U
BUILDING CON�"RACTOR (/��'�L./
Size � �`xb�Sq. Ft. � a�V # 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: Valuation $ � �� Permit Fee Paid $ � � Park Dedication $
ISSUED BY ` Date � � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE��/��,�fs.c �G��� '��''
� �AGENT/OWNER DATE
ADDRESS
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