HomeMy WebLinkAbout0012889-Building (misc.)_CITY OF OSHKOSH RD No 12889
PERMIT APPLICATION AND RECO
TYPE: BLDG~HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS J-~- / / Ilk f1 ~R1'S PLAN NO.
OWNER ~"~'-~°c~~c-t~C ~ ~ ~~f~Gt ~
BUILDING CONTRACTOR ~ ~"'E~_ll ~ r P ~ ~~u~
Size Sq. Ft. # Rooms
Foundation ~`t' rS Class of Const
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR ~-_
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
~~
Z Height
Occupancy Permit
Heat Loss BTU'S
Volts Amps
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
FEES: Valuation
ISSUED BY~
Park Dedication
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~~~~ ~'~~ ~~~~
ADDRESS ~ ~ 9S G o s~r~C
AGENT/OWNER
DATE
TELEPHONE #
r~