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HomeMy WebLinkAbout0027952-Building (misc. interior) € � � CITY OF OSHKOSH N° 27952 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; � ADDRESS �� ^ PLAN NO. , � OWNER DESIGNER , USE/NATURE OF WORK - r �' �� 1T- .Icc,�i -�-- _ �'l.e.�.� .k.c,�Gi��z.Lfu� _ `?��c�> !k a.� 1�'���� ,�' �r ���� � ,62���%rne�� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories /� Height ' Foundation Class of Const. j 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 $ �d �• Q� Permit Fee Paid $ ��'�`� Park Dedication $ ISSUED BY Date �—���� Final/O.P. In the performance of is work I agree to perform all work pursuant to rules governing the described construction. � �/a/g � SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE# �