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HomeMy WebLinkAbout0033577-Building (city rehab) /�D � CITY OF OSHKOSH N° 33577 `' PERMIT - APPLICATION AND RECORD TYPE: BLD�S��HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT �1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �iv'� �it�.�'•• � 7 � /�-��' PLAN NO. OWNER ��'n � DESIGNER USE/ ATURE OF WOR � � � / ' S ` a � e � � BUILDING CONTRACTOR_�_,�- � F' 1�""S Size Sq. Ft. # Rooms # Stories 2 Height Foundation Class of Const. � Occupancy Permit � HEATING CONTRACTOR �� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �4�� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �-S —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 �� ermi ee Paid $ � Park Dedication $ ISSUED BY Date � Final/O.P. In the performance of this work I agree t perform all work pursuant to rules governing the described construction. SIGNATURE � ` AGENT/OWNER D E ADDRESS 'S Q��'� G TELEPHONE