HomeMy WebLinkAbout0020156-Building CITY OF OSHKOSH N° 20156
PERMIT APPLICATION AND RECORD
TYPE: BLDG (Z HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT 74
ADDRESS /h h (11�7�.Qii,2iv PLAN NO. r V Z9 "a
OWNER ran
DESIGNER
USE /NATURE OF WO )2 P1 C3�_1
BUILDING CONTRACTOR //L1fi7 t f f
Size 7�X C Sq. Ft. 74 (,7 4" Rooms Stories Z Height
C
Foundation CO Class of Const. d Occupancy Permit
HEATING CONTRACTOR �B
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
FEES: Valuation /VSj00 0f? Permit Fee Paid —392. SO Park Dedication
ISSUED BY ilielt 4 lz Date 0 Final /O.P.
In the performance of thi work I agree to erform all work pL Ziant to rules governing the described construction.
SIGNATURE e �t C i j
4. AGENT NER DA
ADDRESS d L
TELEPHONE
DATE i /9d
NAME ��Vl�"'�� ADDRESS
LOT BLOCK WARD
SUBO I V ZONE
STREET NO. aD •ee 27L LOT DIMENSIONS
SIDEWALK EXISTING YES El NO 0
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 8/Z d 19 q1 v BY eA✓
FEE: $15.00 pp
DEPARTMENT OF PUBLIC WORKS
I undersigned, undersi ned, owner or agent of the above describe proper y agree to oh -'the
grade established before excavation has commenced.
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