HomeMy WebLinkAbout0032829-Building (exterior)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
rtf'
32829
~~P_E~ _ _ ~L~~)( ~T~ _ C? _ ~~E~ _ C? _ ~~B? _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
1<fZ-3 ~ AA-'
, J:.'
577~ ta, :4~~
ADDRESS
PLAN NO.
OWNER
DESIGNER
U$8NATURE OF WOR~~ ~ ?A.- t;;:: ~'t~ t-~ '
. ~ _~ -xdL ~~~_
BUILDING CONTRACTOR~'( . Y7 ~ ~
Size ~,--1-7' Sq. Ft. # Rooms
Foundation
# Stories V Height
Class of Const. 9--" Occupancy Permit ~
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
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
E4,b~ ~~
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #