HomeMy WebLinkAbout0034497-Building (window)r~~
~ CITY OF OSHKOSH N°_ 34497
~ PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING _ _ FLOOD_PLAIN_ _ - - _ _ HEIGHT- _ _ _
. . . . . . ! . . . . . . . . A- . . . . . . ' ' ' ' ' . .
ADDRESS
OWNER
OF WORK
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PLAN NO
BUILDING CONTRACTOR ~!1'P CiLC.f.C.~~
Siz Sq. Ft. # Rooms # Sto ie ~ Height
Foundation Class of Const. Occupancy Permit 0
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles
Amps
Circuits
BTU'S
PLUMBING CONTRACTOR
-BT -WH
Lav Sh
WC _ FDr
Sink LTub
Other
Disp
DW
- SP
-Eject
- WSoft
_ DF
Ur
- SS
CBasin
-San. Sewer_
-Storm Sewer
Water
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FEES: Valuation _ ~ ~ ~ ~ c9C7 Permit Fee Paid $ ~ J ` ~ ~ Park Dedication $
ISSUED BY '~ Date ~ Z~/~ -~ Final/O.P.
In the pertormance oft ' work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE f v ~ ~Za
NTlOWNER DAT
ADDRESS
TELEPHONE ~