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HomeMy WebLinkAbout0022772-Building (misc. interior) � _ CITY OF OSHKOSH N° 22772 PERMIT APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �'� �• �• �� PLAN NO. OWNER a�!'Lc��- DESIGNER USE/NATURE OF WORK ��� C����� L�a�'Z�'�-� .�-e�Ct�il' �,/��"„t�y�- . , . C��n/1l.t-�Q ..�c�c .�2'�}��. BUILDING CONTRACTOR �'l�`7� �� ,�I� 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 ����` 4 d Permit Fee Paid $ �J _�� 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 constiuction. SIGNATU E �N�'" - � a!� �� AGENT/OWNEA DATE ADDRESS TELEPHONE# � ., OWftER ADDRESS �� L.L1 �O �� DATE PERMIT # USE WoYk coasists of � GENERAL CONTRACTOR MASON .CONTRACTOR � ZONE Width of lot DATE IhSPECTIONS RENSAtZFCS �L u O .f W O t `=a � � � / � ` � C� Front of lot MAILZNG ADDRESS