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HomeMy WebLinkAbout0000744-Building (remodel) � _ CITY OF OSHKOSH No _ 00744 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN�L HEIGHT_��� - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS --��� '�`� � L��� ` ���— PLAN NO. OWNER LA�R�I� /"����l�.A U C� � o��S�� ��.5� DESIGNER USE/NATURE OF WORK ���GL� f�-�lL�' �<��/,QG'NC E/�NSu Lf�P� �`���'`�` (/�i!`r vc�� / /`� ��J [I/—�� �f �l���G.v.>/ �-��'Z� /�� � . >� �/L�T�-. , BUILDING CONTRACTOR F� e��— Size Sq. Ft. # Rooms # Stories � Height � ! Foundation Class of Const. � Occupancy Permit��Q HEATING CONTRACTOR �C�" / /�'��—w � ���� ��S/�� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTnR .��� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits i � 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 O�' FEES: Valuation $ ��� U C'� Permit Fee Paid $ �-��' '� Park Dedication $ ISSUED BY � Date��""�Y Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR � �� AGENT/ NER DATE ADDRESS TELEPHONE#