HomeMy WebLinkAbout0029481-Building/~ CITY OF OSHKOSH N°- 29481
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG~/HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~~~ FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS ~ ~D ~ ~ / ~ ~ , mot/ ~ PLAN NO. ~ b~
OWNER ~'~~-~~ l~.~v~~N4h k.~Lr-c Gt
DESIGNER
USE/NATURE OF WORK
P
~-- l'~`~C.tC C
BUILDING CONTRACTOR `'~ ~~Q ~" l _ n
Size st.i ~ 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 e
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT WH _ Disp - WSoft - CBasin
- Lav Sh _ DW DF -San. Sewer
- WC _ FDr SP _ Ur -Storm Sewer
-Sink _ LTub Eject _ SS -Water
Other
FEES: Valuation $ '- Permit Fee Paid $ Z m-~ P
rk D
di
ti
$
~-
a
e
ca
on
ISSUED BY Dat Z- qq
Final/O
~~~~~ ~9/l
P
.
.
.
In the performance of this work I agree to perform all work pursu ant to rules governing the described construction.
SIGNATUF f
~ ,- ~~ -^ ~' Ti
DATE
ADDRESS ~ ~ s""~J Q~S(j
TELEPHONE #