HomeMy WebLinkAbout0005562-Building (window & door)CITY OF OSHKOSH N° 05562
PERMIT -APPLICATION AND RECORD
TYPE: BLDG~HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ..1~ ~-- FLOOD PLAIN ~~HEIGHT~
--------------------------------------------------------------------
ADDRESS- / ! ` l t~ ~ G~ S' Q ~ ~ PLAN NO.
OWNER _ ~r`'~°~ /~ J k ~
--~
BUILDING CONTRACTOR ~ .~ ~"-'
Size Sq. Ft. # Rooms # Stories ~---- Height
Foundation ~~`~ 1-' T Class of Const. g Occupancy Permi
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR "` ""
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR
BT _ WH _ Disp
- Lav - Sh DW
- WC FDr _ SP
-Sink _ LTub Eject
Other
WSoft CBasin
DF _ San. Sewer
- Ur Storm Sewer
SS Water
FEES: Valuatio//n
ISSUED BY~(.,
Qo
In the performance of this work 1 agree
SIGNA
I $ '~` " ~ ~ Park Dedication
Date ~ 8 Final/O.P.
all work pursuant to rules governing the described construction.
AGENT/OWNER
g-~~ - ~
DATE -~
ADDRESS ~/~~~ 7 / K N G _ Q 4 ~- (~S~.j~4/~ ~` sue. i (!f/Y) .~~3 / - ,$"oZa
~ TELEPHONE #