HomeMy WebLinkAbout0023941-Building (misc. exterior)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
23941
~P_E~ _ _ ~L~~ N _ ~T~ _ C? _ ~~E? _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
OWNER
I~W. lib( ~t-<-
~Ci.I<~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK f)~ - ~ hL /~ ~ h1 ~hd--
~~D4-~~~ ~J~~/d<~L
-1 C ' ..'
.~~~~U/,~ U~~~ .
BUILDING CONTRACTOR ~_"",cd-v-.JY~<~'1..
~
Size', .' ,Sq. Ft.
Foundation
# Rooms
~
# Stories
y
2-
Height
Occupancy Permit ~
Class of Const.
HEATING CONTRACTOR
Heat D AlC 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
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur ~ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ 3~.... ~
ISSUED BY ~~ ~L///U/~
t1
Permit Fee Paid $ (e> .., o'"C') I
Date ~/4J/e; I
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C~ ~~
AGENT/OWNER
~hoh/
/ DATE /
ADDRESS
TELEPHONE #