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0034821-Building (foundation addition)
i �G� � CtTY OF OSHKOSH N° 34821 PERMIT - APPLICATION AND RECORD � TYP�: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ,', - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � 3� � V iL��(� � PLAN NO. OWNER ��-� DESIGNER USE/NATURE OF WORK��/� 7 k /2� ,�u�� �- ��� �, �Gj�� ��� ��`tl.�-��[��! BUILDING CONTRACTOR �/�� Size �Z Sq. Ft. # Rooms # Stories Height ' Foundation c.�n ' 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: Valuatio $ ���'� � ^Permit Fee Paid $ 0�v� Park Dedication $ ISSUED BY Date � 3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � /-�'� AGENT/OWNER DATE �� ADDRESS TELEPHONE# ( ��� � �` � �� �� � ��-�r � � � � �� � � �g : � ; �F,� � � � � y � � � ' � i � � , � � I � � I � � � ,, . �, : } � . � O�NER ADDRESS Z 3�/ 4' ` DATE PERMIT # USE WoYk co ns i s t a o f_ �-.�-c Gt,�C�� GENERAL CONTRACTOR MASON CONTFACTOR ZONE Width of lot DATE INSPECTIONS REMARKS �� � o�� _ � 0 � w 0 � y a m 0 Front of lot MAILING ADDRLSS