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HomeMy WebLinkAbout0033850-Building (misc. interior & exterior) /�� /� CITY OF OSHKOSH N°_ 33850 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS�I /i 1 C�Cti7 GG,d�y�-- PLAN NO. OWNER � � � DESIGNER USE/NATURE OF WORK � C • � , lr.���/rO� ' 1, K �,�- z�, ' eo�c.e. d'.�c..A� �a�. . � 3 " BUILDING ON��RACTOR � /// 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: Valuati $ Sr���� i� � Permit Fee Paid $ �► � Park Dedication $ ISSUED BY Date • -� __ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ° 6� `��,•��� � AGENT%OWNER DATE ADDRESS TELEPHONE#