HomeMy WebLinkAbout0021217- Building (windows/doors) CITY OF OSHKOSH NO 21217
PERMIT — APPLICATION AND RECORD
TYPE: BLDG W HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /Ol& 11 • 4 2"L4 7 PLAN NO.
OWNER (9fa/2/kff-d-/4-
DESIGNER O ��
USE/NATURE OF WORK !'
BUILDING CONTRACTOR C/ Gv ✓�i C ���cG�
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit A
HEATING CONTRACTOR
Heat ❑ NC ❑ 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
WAIVED
/ =y i;u uiuiiort #L or
[1/
FEES: Valuation $ e92-z•DO Permit Fee Paid ($.)tmmon ,- + Park Dedication $
ISSUED BY "-At/ , . ,Get r.A-ct--71-- Date / t/ Fe Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L
AGENT/OWNER DATE
ADDRESS
TELEPHONE#