HomeMy WebLinkAbout1992-Building (raze) �.
/� CITY OF OSHKOSH N°- 30880 '�
`' PERMIT - APPLICATION AND RECORD {
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TYPE: BLDG HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ��l �Q'���,��`"�d'/ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK��l�`
BUILDING CONTRACTOR ' �. '
Size Sq. Ft. # Rooms # Stories �� Height
Foundation Class of Const.—� Occupancy Permi �
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
—Lav —Sh —DW —DF —San. Sewer
S
—WC —FDr —SP —Ur —Storm Sewer ''
—Sink —LTub —Eject —SS —Water
Other
FEES: Valuation $ �� '� Permit Fee Paid $ � •� `� Park Dedication $
ISSUED BY Date�Z3/'7 Z Final/O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE#