HomeMy WebLinkAbout0024525-Building (dance floor)_CITY OF OSHKOSH N° 24525
PERMIT APPLICATION AND RECORD
TYPE: BLDG~HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ ~ ~ l V ~ ~ 2h~ r~ ~ PLAN NO.
OWNER , ~ c? ~ ~Y`'' (1 L°. ~ °t• ~
DES
USE/NATURE OF WORK U ~ //--- nn //
a ~.~ Q door "- ~~ ua~ro~ ~ ~'S~ ~r ~ ,A.,o ~ P_ `t-!n~ r
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 WSoft
-Lav -Sh DW DF
- WC _ FDr SP Ur
-Sink LTub Eject SS
Other
FEES: Valuation l P r 't Fee Paid $ ~ ~ Park Dedication $ ~-
ISSUED BY Date Final/O.P.
In the performance o/f is work I agree to perform all work pursuant to rules governing the described construction.
1
SIGNATURE
/ AGENT/OWNER / DAT
ADDRESS ' n _~ 6 C.L~ ~~-rI (~ t~ ~ ~ (~/C i r ~t -~5~
ELEPHONE #
- CBasin
-San. Sewer
-Storm Sewer
-Water
-1
Size X Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ~_ Occupancy Permit