HomeMy WebLinkAbout25442-Building (windows)_CITY OF OSHKOSH N° 25442
PERMIT APPLICATION AND RECORD
TYPE: BLDG [~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
F
ADDRESS ~ J ~
OWNER
DESIGNER
USE/NATURE OF WORK
J
BUILDING CONTRACTOR ~Llh-~.!/l
Size Sq. t. # Rooms # Stories Height
Foundation ~~ • Class of Const. ~_ Occupancy Permit ~y0
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT _ WH Disp _ WSoft
-Lav _.Sh -DW DF
- WC - FDr SP - Ur
-Sink LTub Eject _ SS
Other
Amps
Circuits
- CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuatio $ ~ ~ a O . o o ~ Permit Fee Paid $ ~ ' w ~ Park Dedication $
ISSUED BY Date Final/O.P.
PLAN NO
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #