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HomeMy WebLinkAbout0033529-Building /�� � t � CITY OF OSHKOSH N°_ 33529 � `' PERMIT - APPLICATION AND RECORD � ; TYPE: BLDC�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT 4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ ADDRESS �� ` �+ � ✓�� �Q�� �'l'�'� PLAN NO. � 1 OWNER DESIGNER USE/NATURE OF WORK � � �-��� � � /" ` i � � �` cvl�/� � ; � ,` BUILDING CON7RACTOR � Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const. Occupancy Permit �v � HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /���-�E' ��0( C��,�� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps E Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �4-�A�c-t.,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 P ' Fee Paid $ Park Dedication $ P ISSUED BY � Date `� � Final/O.P. In the performance of is work I agr to perform all work pursuant to rules governing the described construction. SIGNATUR w / � � AGENT/OWNER DATE ADDRESS ����������7� ������D TELEPHONE# � i