HomeMy WebLinkAbout0016822-Building (front porch)~ CITY OF OSHKOSH N°_ 16822
L' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~ ~R ~ F~~7~ t/~- PLAN NO.
OWNER Q`~Q +" /~-~
DESIGNER
USE/NATURE OF WORK FS i ~L°•c~'t~ ~ ~ ~"" ~`'~ ~
BUILDING CONTRACTOR ~~~-g ;~ ~ ~"
Size
Sq. Ft. # Rooms # Stories Height
q,
Foundation C-J~ ~~S ~ Cl 2
ass of Const. ~ Occupancy Permit ,~~«
HEATING CONTRACTOR
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 SP Ur -Storm Sewer
Sink LTub -Eject SS Water
Other
FEES: Valuatio $ it Fee Paid $ ,~~ ` Park Dedication $ ~-
ISSUED BY Date /' 3 "per Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ - ~ L ~ n~
AGENT/OWNE ATE
R
ADDRESS / 7~~ ~~ ~~6L~_ fal /.l1/~--~ ol~~ " S~b,~d
TELEPHONE #