HomeMy WebLinkAbout0048120-Building (steps) fq(
CITY OF OSHKOSH N 48120
PERMIT APPLICATION AND RECORD
TYPE: BLDG 17i( HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS S/5 U/!) G du e. PLAN NO.
OWNER k 1-4)Aff
DESIGNER
P USE /NATURE OF ORK r 0 Q CE T l' I�I�� I 'tv Is
va rd rcc( s
BUILDING CONTRACTOR i )n 1 ■)11 S
Size Sq. Ft. Rooms Stories Height
Foundation 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 it F. Paid v Park Dedication
ISSUED BY 4 1 O Date 1/ 6 6 Final/O.P.
In the performance work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS G r! Z"•A L..1`d'-ls P .a //4. 4 1 ‘0 77
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