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HomeMy WebLinkAbout0014878-Building (replace crawl space) � /� CITY OF OSHKOSH N° 14878 `' PERMIT - APPLICATION AND RECORD : TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � ( FLOOD PLAIN� HEIGHT� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� I � �/ I'� L�''`,� '� �c. PLAN NO. OWNER � ����� �J �'Z L�.�� IZ�-�1 �Z� C� V I l�C..l�ni� S(/2.e�i`T t DESIGNER USE/NATURE OF WORK v'/��– /� ��M'< < �S f/J��- L- , � �'f 7 ��U�s c_. /�-S'4�1.G✓T — �o�Jc 2c.—v�, � , BUILDING CONT"RACTOR �–�--CJti�'✓ /r f /� s Size�/�'�`� � Sq. Ft. ��� # Rooms t # Stories / Height Foundation8 � a��c� ��-��t Class of Const. '�� Occupancy Permit � /� HEATING CONTRACTOR /U4�'✓� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S . ELECTRIC CONTRACTOR �v��'�� 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: Valuati n � Permit Fee Paid $ Z� Park Dedication $ d ISSUED BY Date J '� /\d / Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE . � / �� GENT/OWNER DATE - ADDRESS �Z I � �I��'�„y""^- � � c7�3 ( �SC��7 TELEPHONE# :