HomeMy WebLinkAbout0033402-Building (det. garage)/ S'-O
n CITY OF OSHKOSH N° 33402
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING '` ~~ FLOOD PLAIN HEIGHT
ADDRESS ~~ G%t/`~-~GrI.C d/~ ' PLAN NO.
OWNER ~~~t.CJC. ,~Afix_~i(
DESIGNER
USE/NATURE OF WORK ~- 'Z
BUILDING CONTRACTOR ~(~'~
Size 2y kZ'F Sq. Ft. ~7~0 # Rooms -~ # Stories ~ Height 3 r
Foundation ~ Class of Const. ~ Occupancy Permit ~---
v
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 _ Disp WSoit CBasin
- Lav - Sh _ DW _ DF -San. Sewer
WC _ FDr - SP _ Ur -Storm Sewer
-Sink _ LTub _ Eject - SS -Water
Other
FEES: Valuation $ ~ ~ D ^ 0 d Permit Fee Paid $ y~~® (~ Park Dedication $
ISSUED BY Date ~ ~Z~~ Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~• ~ ,l p
~ - ~ ~~9'3
DATE
AGENT/OWNER
ADDRESS
TELEPHONE #