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HomeMy WebLinkAbout0029934-Building (platform) /'� CITY OF OSHKOSH N° 22934 '. `' PERMIT - APPLICATION AND RECORD TYFyE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��3 � . �S;���'� PLAN NO. OWNER_ /�.uiKa"� �.L�i �Y/��� DESIGNER D �� � . � USE/NATURE OF W�JORK� � �[ �j . /� *��/A.C,cl�C� _� � / -�4 Cc,oi �x- ��vC� BUILDING CONT'RACTOR ���'��� Size G�Sq. Ft. # Rooms � # Stories �� Height Foundation Class of Const. d 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 $ ��' � Permit Fee Paid $ d � � � 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. 7 SIGNATURE ��� '� ���d ��I �� A NT/OWNER DATE ADDRESS ��`� ���� ���� �� � � O�:v � J� 4% TELEPHONE# G�C��� .,� �03 �v�r.� � � k r , a <� ...�� .. -.s,.. . .,..�___—. ,___...��_ _"_�__"._.__..r�..-"�`�• ,�.�x.,.. �V.. - �I e��btfs II 3�. _� ...__... !�� �� ^ � • ^� v J :.' _..._.-__- i ..-_._ . . ,� � ���� "� � , � `�� t� I i. � �} ,. _ `' i ' j _ ... _ .-- --- --.. �1� �. ` t �� ' f {i ; ' � ' � . _. �...�. �"�3 I ?� r� s-3-� , ,�> 3 � i � � � • � l � ; � I � ;, � � . fi � ____.__.._._..--_...--� , , I �� ° '' � 1 � J I � �� - i _ __ �1, i � �v' i ::s` �� I i , � := r�' � I � --__ ___-___j� � � � -_ � `� �-�� ► � � i �