HomeMy WebLinkAbout1994-Building (roof)r ~ 1yl
CITY OF OSHKOSH ~'' `~d N~ X0863
PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' ~~ ~~~~ ~~' PLAN NO.
OWNER lJ r/l Q~ / JyVST
DESIGNER
USE/NAT~~ORK
C~(~.c~(t ~_
BUILDING
Size
Foundation
Sq. Ft. # Rooms # Stories Height r~p-~
Class of Const. ~ Occupancy Permit -L~~.
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
Lav
- WC
WH
Sh
FDr
-Sink - LTub
Other
- Disp
- DW
- SP
-Eject
- WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
~-° ~ cz
FEES: Valuation $ ~~' P mit Fee Paid $ Park Dedication $ ~
ISSUED BY Date ~ ~ Final/O.P. ^~
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE 7025' ,~
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ADDRESS~y~ ~Q~~l~ - L~l~ ~ d"J ~~
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