HomeMy WebLinkAbout0024839-Building (rebuild partion)~ CITY OF OSHKOSH N°_ 24839
` PERMIT -APPLICATION AND RECORD
TYPE: BLDG.~FiTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN - HEIGHT-
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BUILDING CONTRACTOR `~ ~ ~ ~~~d`a ~?
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
~_..
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR (`
BT WH
Lav - Sh
WC FDr
-Sink - LTub
Other
FEES: Valuation
ISSUED BY~
:~ ~ ~~~~
AGENT/OWNER
~ ~ a!
r$_
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS ~ 32 S
Volts Amps
Circuits
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
CBasin
San. Sewer_
-Storm Sewer
Water
Park Dedication
Final/O.P.
~-(
81i3/~ l
DATE
231- 8Z3 I
TELEPHONE #
ADDRESS ~ ~ q ~S ~ ~`" ~ ~'~ ~ PLAN NO.
OWNER
DESIGNER