HomeMy WebLinkAbout0034349-Building (2nd floor remodel),~r
/~ CITY OF OSHKOSH ~°- 34349
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS `J 3 2- PLAN NO.
OWNER dd`~'N ~% /G~%GI~I
USE/NATURE OF WORK -G
~~ i~~l,~
BUILDING CONTRACTORI~
Size Sq. Ft. # Rooms # Stories ~-- Height
Foundation Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
PLUMBING CONTRACTOR
BT
Lav
- WC
- Sink
Other
- WH
Sh
- FDr
LTub
- Disp
DW
- SP
_ Eject
Volts Amps -
Circuits
- WSoft - CBasin
DF -San. Sewer.
Ur
SS
Storm Sewer
FEES: Valuati $ 3 O ~f~ ~ Permit Fee Paid $ ~ d~ Park Dedication $
ISSUED BY t'~wLr" Date ~~ 3 Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNA
s
AGENT/OWNER
ADDRESS
DATE
~3s'= ~7s''a~
TELEPHONE #
832 ~o~ sr ia~ .~ic.~~R
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