HomeMy WebLinkAbout0034388-Building (window)/ y~o
/~ CITY OF OSHKOSH N°- 34388
`' PERMIT - APP~.ICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS _~(Z~~.(J~
OWNER -~1~
DESIGNER
PLAN NO
BUILDING CONTRACTOR ~
Size Sq. Ft
Foundation
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
Lav _ Sh
- WC _ FDr
Sink LTub
Other
- Disp
- DW
- SP
-Eject
- WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
r
FEES: Valuation $ dv • O ~ Permit Fee Paid $ ~~ `~ ~ Park Dedication $
ISSUED BY Date ~~~_y' 3 Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
c ~-~
SIGNATURE
AGE /OWNER DATE
ADDRESS
TELEPHONE #
# Rooms # Stories Height ~,,
Class of Const. ~ Occupancy Permit~~~%