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HomeMy WebLinkAbout0045206-Building (foundation repair) # Y /yi /7 CITY OF OSHKOSH N°- 45206 :i `' PERMIT - APPLICATION AND RECORD TYPE: BLDG (�. HTG ❑ ELEC � PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - , ADDRESS �� ����KE� �� PLAN NO. OWNER � � �ILL, � DESIGNER USE/NATURE OF WORK �5��-� ��QATl��1 ����� '�,-�� �����,�� � . f+c i..�� \ �.�'C L�l?1'���� �, 1 N S���.�. `�i�� � �<.C J��.ti.3.� ���cz.i. � �u���--i�v � �o�T� �iZti�� -c�LE -� �.�.�����v6 su� p �?��, BUILDING CONYRACTOR SL�'� � ��� �Src4'V��.�`t �D �r}�; — ()$�. ��-�{� ` Size Sq. Ft. # Rooms # Stories Height Foundation eo��� � Class of Const. � 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: Valuation �� � � Permit Fee Paid $ ��` � Park Dedication $ — ISSUED BY Date S � -� � Final/O.P. � In the performance of this ork I agree to pertorm all work pursuant to rules governing the described construction. � SIGNATU S"j�_�� AGENT/OWNE pA� ADDRESS—���7 /L�E%y��ztt i�Q• .�. ����_ ���� TELEPHONE�