HomeMy WebLinkAbout0030796-Building (new piers for rear of bldg) � CITY OF OSHKOSH N°_ 30796
` PERMIT - APPLICATION AND RECORD
TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � I / �` �'W'� � PLAN NO.
OWNER v g�� � ��
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR ����
Size Sq. Ft. # Rooms # Stories Z Height
Foundation � Class of Const.� Occupancy Permit
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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 $ �0'�� Permit Fee Paid $ "� Park Dedication $
ISSUED BY Date a S Z Final/O.P.
In the performance of this work I a e to perform all work pursuant to rules governing the described construction.
SIGNATURE
� � �� AGENT/OWNER DATE �
ADDRESS
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