HomeMy WebLinkAbout0030471-Building (exterior door)/~ CITY OF OSHKOSH N° 30471
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG~HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~ .--t oh ~--- PLAN NO.
OWNER ~_r~a_~~ /~'~ a ~ ~,S^tv
.TURF OF WORK Z ~ ns ~ ~r1~C D G~ t-
/' t /~ `
~PR..CPv~ eft aKCe r~~Q/~ /IG'A Q'l~or~/~ O
BUILDING CONTRACTOR ,,~i ~(' ~~ r~ f au9
Size
Foundation
# Rooms # Stories Height
Class of Const. ~ Occupancy Permit ~~
HEATING CONTRACTO
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT _ WH Disp WSoft - CBasin
- Lav _ Sh DW DF _ San. Sewer
WC FDr
-Sink LTub
Other
SP Ur Storm Sewer
Eject - SS _ Water
FEES: Valuation $ J mit Fee Paid $ ~
ISSUED BY Date ~ Z'
In the performance of this work I agrs o pert mall work pu ar
e //%
SIGNATURE
ADDRESS
Sq. Ft
AGENT/OWNER
Park Dedication ~-
Final/O. P.
to rules governing the described construction.
P-a~- ~~
DATE
~~ ~~f ~~
TELEPHONE #