HomeMy WebLinkAbout0042638-Building (roof) Pll
CITY OF OSHKOSH N2 42638
PERMIT APPLICATION AND RECORD
TYPE: BLDG W HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS L/ 9 5/ST Z. btiC W PLAN NO.
OWNER CL/f OsEip t.97-NR//)E FISC H&
DESIGNER
USE /NATURE OF WORK FX 0367: r" 4 CaOte
/'l_S'T7n/i ,ct-1 /#/6L.ES.
BUILDING CONTRACTOR E. i'n AJ
Size Sq. Ft. Rooms Stories s Height ,,rr--��
Foundation Class of Const. O 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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
Z
FEES: Valuati• OLAIP4 Permit Fee Paid r Park Dedication ISSUED BY A. Date f /H/ g Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ;-4 o
AGENT/ W DA y
ADDRESS 4 7 1E L./ icae-N «LE�7- c? 6
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