HomeMy WebLinkAbout0003844-Building (roof) CITY OF OSHKOSH N o 03844
PERMIT APPLICATION AND RECORD
TYPE: BLD HTG ELEC PLBG SIGN ZONING 12 -02 FLOOD PLAIN HEIGHT A)1
ADDRESS 34 SARA-7 c. A A ki'iff, PLAN NO.
OWNER &rif,t4 rZ>GC_.- T ZctROS C- qxtz k/
DESIGNER
U E /NA E OF WORK
4•34 .4x a, w 1. 1 -j
f ,4/'rZ ZW/£ a? 1, pe c'� i
BUILDING CONTRACTORf V (.JACJA/JJ
4 54
Size Z e Sq. Ft. Rooms Stories Height
Foundation Class of Const. V Occupancy Permit Mr 49 ci /,e.c1'
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR l(_/
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Aj ,f'.--
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: ValuatiI c 7 0 4 0 Permit Fee Paid r Park Dedication V /A
ISSUED BY .t _r._.. 1 Date ■S 0.-6
7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE le e i A44"
A /r /OWNER DATE
ADDRESS 2 V S G
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