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HomeMy WebLinkAbout0017015-Building (interior alterations) � � CITY OF OSHKOSH N° 17015 -� ` PERMIT - APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING� � FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �" g�S .t!�o Gt��� ct/"//L PLAN NO. OWNER ��k i� �-ih'� � DESIGNER USE/NATURE OF WORK �� � �4 �' P � � f� ; f �(�k Y �(� /- U'"'P_LL lN � tC�'�� t'k -- r--o�. �e � e ���.� A:�d�.L ��o a �?r...e c�c��/ BUILDING CONTRACTOR ��e� ��'e �'' 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 ��C4 � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps •Fixtures Switches Receptacles Circuits PI IIMRW� C'(�NTRAC'T(�R Iti ✓� 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 Permit Fee Paid $ l� � Park Dedication $ � ISSUED BY Date '� �`��' p� Final/O.P. . In the performance of this work I agre to perform all work pursuant to rules governing the described construction. SIGNATURE A ENT/OWNER D T � ADDRE � � �t � TELEPHONE# �� -:� ce ` x iy ILi Y I.Q JR, N 71 Id in v " A •4 a 1 tj 9 � 9 f. Ci U f � K Ll 7 td > Q N a 4E °