HomeMy WebLinkAbout0006879-Building/, CITY OF OSHKOSH No 0.6879
L' PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN /N HEIGHT
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ADDRESS ~ ~2- L gL ~~ ~ PLAN NO.~'~~-~~~ B
OWNER ~~~~ ' C.Z[~D~°rrL._ ~ ' ~ L_I OSSC.LjAJ
DESIGNER ~ V~~ ~~ ~ ~'~ ~y~
US,,E/MATURE OF,rW^ORK (~~ -` /Q~'~~ G ~
BUILDING CONTRACTOR ~ VJ l~O~u ~
~ t
Size
3
°
. Ft. ~~ ~
Sq
# Rooms
~3 # Stories
~ Height ~ ~ Z
~~
~,
,,
Foundations-~+G- c
J~-~ ~~ ~ ~~^'l Class of Const. ~ Occupancy Permit ~~~'d
HEATING CONTRACTOR ~~ ttPv~Tt ~D
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR -~y~-''vim
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR -~
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
O
FEES: Valu on ~ Permit Fee Paid $ ~6 Park Dedication $
ISSUED B Date ~' ZZ "'~8 Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE oti ~e~n ~~- ~_.c~a.J k~.. ~-2 ~ 9~~
AG T/OWNER DATE
ADDRESS ~~ ~ d~'~'~05~1 S~hCtZ~' ~~~t ~t~c 7~8'-a60~
TELEPHONE #
Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
- Storm Sewer
Water
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GENERAL CONTRACTOR
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MASON CONTRACTOR ZONE
Width of lot DATE
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