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HomeMy WebLinkAbout0018992-Building (renew 14878) �,�'� ,� � _ CITY OF OSHKOSH N° 18992 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 22%� � ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ��� � ,� ��L (,[�� / L��ii��'4�� �:yGC.l�/ , BUILDING CONTRACTOR (�`.e�5'l.��� / � Hei ht ��/ Size Z��C3 Z Sq. Ft. # Rooms � # Stories g ri n. Foundation ____� C�i�t. ��-a'�� 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 � ��-d C7 Permit Fee Paid $ ����� Park Dedication $ ISSUED BY�t•_ Date �/��//� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE A NT/OWN DATE ADDRESS TELEPHONE# .