HomeMy WebLinkAbout0023815-Building (raze garage)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
~PE: . . ~L~~ ; ~;~C . C? . PLoo. C? . ~'GN .C! . ~ONIN~. . . . . . ~L~D Pl>\'~. . . . . . H~'~>:'. . . . .
N~
23815
ADDRESS I {<.-o f/ ~k
OWNER 9~ :t:
DESIGNER
USE/NATURE OF WORK j:flt' ~ ~
/
PLAN NO.
2 UA JdA'lL/'
BUILDING CONTRACTOR i ~ ~
Size -z. z... y:-z....-z..... Sq. Ft. <If t # Rooms
Foundation ~~d-
# Stories
Class of Const.. f
f
Height
Occupancy Permit
~
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
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
ISSUED BY
Permit Fee Paid $
Date
/
-/0.001
fr;/I! jq (
Park Dedication $
Final/O.P.
FEES: Valuation
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~!l ~~
ADDRESS
DATE
TELEPHONE #