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HomeMy WebLinkAbout0029625-BLDG. (new sheet rock) � CITY OF OSHKOSH N° 29625 PERMIT - APP�ICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � 1 l" � f"� � x � � � PLAN NO. OWNER --`r%f-rc% ��/�-��t� DESIGNER USE/NATURE OF WORK��lC �-��� [;(���,p f�, , � � �� � � �� l�Ct' �i--/�-r"f I>,d-.'��� �.t�..�. �;�' n..L,:,•��t-�,�a-- �� ��./� BUILDING CONTRACTOR �r'/� (�� , Size�_ Sq. Ft. # Rooms # Stories � Height � Foundation 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 $ ���t,1� � � Permit Fee Paid $ �� � � � j�� Park Dedication $ ISSUED BY ������'J-r.�-��en�r_-,�— /c Date,Zl > � �- Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��C�`� ��c-/ AGENT/OWNER DATE ADDRESS TELEPHONE#