HomeMy WebLinkAbout0006089- Building (new house) CITY OF OSHKOSH N° 06089
PERMIT — APPLICATION AND RECORD
TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /a//e 124 /
PLAN
OWNER 6 -do' 4_10C-11-n___ )1
DESIGNER
USE/NAT RE F WORK sa. .f _,--1-2 /614er-g/ -4# �P_
/ r o ` o
BUILDING CO IIICTOR 1---z-i_Ael" ---
Size-. K 23-- Sq. Ft. # Rooms - • # Stories Height ��,
Foundation Class of Const. Occupancy Permit U (/�
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
i P (� / Park Dedication
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UED BY /. , • / Datel /`�1` (F--7 Final/O.P.
In the performance of this work I agree to perfo , all work pursuant to rules governing the described construction.
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SIGNATURE /
.�/y AGENT/OWNER DATE
ADDRESS. 7�d � A ''C
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