HomeMy WebLinkAbout0019171-Building (misc.)_CITY OF OSHKOSH N° 19171
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ` ~~ ~e ~- ~~ t-.
PLAN NO.
OWNER f c
DESIGNER
/~ r
USE/NATURE OF WORK (~- (~t9Lt~- ~~`Fr.~-~ ~ -~~
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
I $_
Date
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
Volts Amps
- Circuits
PLUMBING CONTRACTOR
BT WH
Lav _ Sh
WC _ FDr
-Sink LTub
Other
Disp
DW
SP
-Eject
# Stories
Class of Const.
Heat Loss
WSoft
DF
Ur
SS
FEES: Valuation
ISSUED BY~~,~l~
In the
SIGNATURE
ADDRESS
work I agree to
# Rooms
Height .
Occupancy Permit
Park Dedication $
Final/O. P.
work pursuant to rules governing the described construction.
VER DATE
TELEPHONE #
CBasin
-San. Sewer_
-Storm Sewer
-Water