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� CITY OF OSHKOSH No oosaszo '
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OS OSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1217 MICHIGAN ST Owner MICHAEL&DEBRA TOLLARD Create Date 10/7/96
Designer Contractor OWNER
Category 141 -Exterior Remodeling Plan
Type w ing ign anopy ence aze
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ro�ec ion
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation Poured Concrete 0 Floating Slab � Pier 0 Other
Concrete Block � Post 0 Treated Wood
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ear o an reroo wi asp a s ing es
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $400.00 Permit Fee Paid $10.00 Park Dedication $0.00
Issued By: Date 10/7/96 Final/O.P.
i
ermi oi e
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signatur����-�,�� � ��,�� Date
J� AgenUOwner
Address OSHKOSH WI 54901 - 0000 Telephone Number