HomeMy WebLinkAbout0029938- Building (Windows) CITY OF OSHKOSH N2 29938
PERMIT - APPLICATION AND RECORD
TYPE: BLDG lIt HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS I y/ )1. APLAN NO.
OWNER 49-� 4n.eP C
DESIGNER Q ))Zü )
USE/NATURE OF WORK ,a rii '''- “,-,,,,,_46,,,,,-, ..... Q./7, ,,,„1
BUILDING CONTRACTOR 6L -frLr-A.
Size DD,, //Sq.. Ft. # Rooms S # Stories -2i Height
Foundation i�eLL 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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /7 C O. 0 0 Permit Fee Paid $ /- 'e ° Park Dedication $
ISSUED BY '' r.t,ZZc--v-zx-+"- Date 00XI- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE - A •
! ' AGENT/OWNER DATE
ADDRESS
TELEPHONE#