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HomeMy WebLinkAbout0023916-Building (renew 14878) � CITY OF OSHKOSH N° 23916 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS Z Z"I� 1��/�L�� �` PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 1/%�� /��f�'L ��i2%��f� �(� �'p+�GGG� G�- ��l�� : �����.C� ��_�c.cJ /��L�t�t�j' BUILDING CONTRACTOR /�L/hc.P� r� Size Z'�`�3 Z Sq. Ft. ��� # Rooms � # Stories � Height �� Foundation ��� �L Class of ConsC. � Occupancy Permit� : O 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 �5��•d'd Permit Fee Paid $ �o • F' o Park Dedication $ : ISSUED BY , Date�2��5�9� Finat/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE A T/OWNER DATE ADDRESS TELEPHONE#