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HomeMy WebLinkAbout0023965-Building (raze garage) /� CITY OF OSHKOSH N°_ 23965 `' PERMIT - APPLICATION AND RECORD . l.� TYPE: BLDG HTGf L[]G� ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � W � / T �" ��'�`'"�'� PLAN NO. OWNER �%��/' ��(.�Z DESIGNER USE/NATURE OF WORK�� t cl�'�CG�1�C/ Z C��G�ti BUILDING CONT'RACTOR Q.d�� Size� Z Sq. Ft. 3� # Rooms # Stori � Height Foundation ��!�' Class of Const.� Occupancy Permit�v 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 � Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR �/[7 –�//� AGE /OWNER DATE ADDRESS TELEPHONE�