Loading...
HomeMy WebLinkAbout0021507-Building ~ TYPE: ;"""r CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 21507 BLDG Ii HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING HEIGHT FLOOD PLAIN - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS OWNER 23.1..fY dcn.Je'f F~P s:~~(/~ 7 PLAN NO. DESIGNER USE/NATURE OF WORK LA c...1-oa-; f~,~K J? -1 , ~({ c.Vt"'-,<- I I or:t:;, t c" / ~-t~ V- to r- af Ie ~~I,r~ f...s ~kw~1- :(~~C p -Cor- ~ o,//"'rA&?~~,,"! / ~:: BUILDING CONTRACTOR . G-e~<=- Size-3:<v Y3 d a r-e~ Ft. Foundation ~-r: Cs t- C~ClW 1/1. ~r / Height Occupancy Permit k'\9 r ~ # Rooms # Stories Class of Const. (0 J 2: HEATIN CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S """2.. ELECTRIC CONTRACTOR f Electric Servo New 0 Change 0 Temp 0 Fixtures Type _ Volts _ Amps_ Switches Receptacles Circuits "Z _BT PLUMBING CONTRACTOR _ CBasin _Lav _WC _Sink Other _WH _Sh _Disp _DW _SP _ WSoft _OF _ San. Sewer _ Storm Sewer _ Water _Ur _FOr _ L Tub _SS _ Eject rmit Fee Paid $ Date Park Dedication $ Final/O.P. FEES: Valuatio ISSUED BY SIGNATURE ADDRESS this work I agree to perform all work pursuant to rules governing the described construction. 4..~ ,/ ~,-- ':t .. -,~ .AG~~~-~ &67/ F{?~~ . :L t:=. 1#?C) ATE &.S/-flP9'?I TELEPHONE # '