HomeMy WebLinkAbout0045863-Building (roof)~y ~
CITY OF OSHKOSH N-° 45863
PERMIT -APPLICATION AND RECORD
TYPE: BLD - - -TG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS_ ~® ~ ~ Pet owt r hlP r r• - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PLAN NO.
OWNER ~Qcc r~ /~ ~~
DESIGNER
USE/NATURE OF
BUILDING CONTRACTOR ~~~~~
Size Sq. Ft. # Rooms
# Stories
Foundation Class of Const.
Height
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches __ Rece tacles
P Circuits
PLUMBING CONTRACTOR
- BT _. WH - Disp - WSoft
- CBasin
-Lav -Sh -DW . _DF
San. Sewer
- WC - FDr - SP - Ur
Storm Sewer
- Sink - LTub _. Eje~ _. SS
-- Water
Other
r
FEES: Valuation P it Fee Paid $
~!
ISSUED BY D _
?~ Park Dedication $
ate Final/O. P.
In the pertormance of this work I agree to pertorm all work pursuant to r
l
u
es governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
DATE
TELEPHONE ~