HomeMy WebLinkAbout0039750-Building (siding & roof)~ ~/
~ CITY OF OSHKOSH N°- .39750
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
---------- ---------------------------------------------------------
ADDRESS l V / / j' UC / ~ rU'C ~ U~ ~ PLAN NO.
~" c 2
OWNER ~ ~~/~ 7= 1 ~.L~~
DES
USE/NATURE OF WORK
`..$'~~
/VIRf~72 (~R~, /NSTit CC N~ ~/fib " OS'B ~(~c.~D r,S~(i,v6~S,~ ; /~Vyi A ~.,C
_ V l~tX.lL S'i~i~ O~ fl~,~~~E.
BUILDING CONTRACTOR lJ~'~`
Size Sq. Ft.
Foundation
# Rooms # Stories Height
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 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 $ 3~~. ~ Permit Fee Paid $ ~~` ~ Park Dedication $ ~
ISSUED BY Date ~f ~y Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
g
DATE! ,L__
~~ ~2
TELEPHONE #