HomeMy WebLinkAbout1991-Building (interior remodel)_CITY OF OSHKOSH N° 24591
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / s~Z ~ //! ~ L~-C
PLAN NO.
OWNER
DESIGN
USE/NATURE OF WORK ~/L ~~~t dvi~ ~XOr-'C~T - ^- ~`.,.- ~ p~ ~~ ~,f
,~~~~
BUILDINGnCONTRACTOR /Q~'~
Size -~` Sq. Ft. # Rooms # Stories Z Height
Foundation Class of Const. ~_ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Heat Loss BTU'S
Volts Amps
Circuits
PLUMBING CONTRACTOR
BT - WH
- Lav Sh
WC - FDr
-Sink - LTub
Other
Disp
DW
- SP
-Eject
- WSoft
DF
- Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ G~~~pO , O c7
ISSUED BY _ /l d./.G~~
Permit Fee Paid $ ~S ' O ~ Park Dedication
' Date 7 3~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE`` l~`~ F7~o~
AlitN I /OWNER
ADDRESS
DATE
TELEPHONE #
2 3~3 ~- S~S`~j S ~
E~SVNER ~ ~~
DATE PERMIT #
GENERAL CONTRACTOR
MASON .CONTRACTOR
width of lot
' ZONE
Front of lot
ADDRESS /~2~- ~'1at~-Cep
USE
Wozk consists of
DATE INSPECTIONS
REI~lARICS
~/_
1~~/' ~.1 ~ lC
MAILING ADDRESS