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HomeMy WebLinkAbout0001892-Building (fireplace) /� CITY OF OSHKOSH No _ 01892 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �� FLOOD PLAIN� HEIGHT� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� 1 � � v `����( �UF -' PLAN NO. OWNER ���PN r'� /y L��M$ DESIGNER SE/NATURE OF WORK �N L(�K �iC>M f C. �l - � ClJ � S'T,4/�/"Q �'�lCs t"(�►'[�-a C..E �.! Q/vl I L -o O.M BUILDING CONTRACTOR��P�-��/ �AM S Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit , HEATING CONTRACTOR tin�"��`- Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ���'E�� �W/��.� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �-�o�� —BT —WH _Disp _WSoft _CBasin —Lav —Sh —DW _DF _San. Sewer —WC —FDr —SP _Ur —Storm Sewer —Sink _LTub —Eject —SS —Water Other FEES: Valuat �� Permit Fee Paid $ �� Park Dedication $ ISSUED BY � Date � +- �m g� Final/O.P. In the performan e of this I agr to perf, m II work pursuant to rules governing the described construction. SIGNATURE �/ � �- �� � AGENT/OWNER DATE ADDRESS � / � ���c.��,/ TELEPHONE#