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HomeMy WebLinkAbout0017108-Building � CITY OF OSHKOSH N° 17108 `' PERMIT - APPLICATION AND RECORD TYPE: BLD�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS�� �_ V r rl /4 i�X S� PLAN NO. : OW N E R - � t� 7�`L�Gt SQ� DESIGNER USE/NATURE OF WORK r � ' L°�P � r � � � � °C- /cP ' c;� e S� i w U @� C.° BUILDWG CONTRACTOR �t� DtiP I '– a Size � � � Sq. Ft. # Rooms # Stories � Height Foundation Class of Const. v Occupancy Permit�r�� : HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR -��-`e-f— Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ����-`e (,� —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 � mit aid $ ��r Park Dedication $ ^— ISSUED BY Date �r� – j � Final/O.P. f��S/9b In the performance of this work I agree to orm all work pursuant to rules governing the described construction. SIGNATURE "�/ `��4�� � � °29 �� ENT/OWNER DATE ADDRESS �S ��2I �� � D`�7�/��'�i ,� ��/_I�/ 7S TELEPHONE# OWNER ADDRESS o2 .Z.S G� � . DATE ' PERMIT # USE Wo-�rk cons is ts of ,13,a� GENERAL CONTRACTO R �.��rr.vr.6� ���/.,(,�i.�/�Cc�/ � ; MASON CONTRACTOR ZONE Width of lot DATE INSP�CTIONS REMARKS /,� _����d ,��t�,-al� ��.��1�. P1��d � k � ` M � rl r-1 � � y LL m Q Front of lot MAILING RBSs