HomeMy WebLinkAbout0018972-Building
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18972
TYPE: BLDG ~TG D ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
/'is.s--r #eC~
/I ((J--ee/ ,/1~,'4~ Xr-
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK <( i= e / 4l/ry kA . .. J "0-[0 '~
BUILDING CONTRACTOR
~ v e~ { ~
Size
Sq. Ft.
# Rooms
# Stories
,/
Height
Foundation
Class of Const.
err
Occupancy Permit
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
'--
Heat Loss
BTU'S
--
~
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
_BT
_WH
_Sh
---'--',.',.....,
~ _ Disp
PLUMBING CONTRACTOR
_WC
_FDr
_ L Tub
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
ISSUED BY
Park Dedication $ r
Final/O.P.
---,.,...",
In the performance of this work I agree 0 erform all work pursuant to rules governing the described construction.
SIGNATURE~iP tPvN,~,
,f' , ~ AGENT/OWNER
ADDRESS 7 (J b :; ,M ~
b --- S-~ q t)
DATE
S:-lf 106
TELEPHONE #