HomeMy WebLinkAbout0020155-Building CITY OF OSHKOSH N9 20155
PERMIT APPLICATION AND RECORD
TYPE: BLDG At HTG ELEC PLBG SIGN ZONING S3 FLOOD PLAIN HEIGHT 2-6
ADDRESS 7 fc:f PLAN NO. ?7/2'541d 2
OWNER vt r
DESIGNER
USE /NATURE OF WORK g lz! +ice 7 3€12
BUILDING CONTRACTOR 7451 esee
Size 7/)( Sq. Ft. 7 d Rooms Stories Height
Foundation 67,1 Class of Const. a Occupancy Permit £C Q
HEATING CONTRACTOR v
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR t.J'l..�Y
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Geld
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
_Sink LTub Eject SS Water
Other
:V �S� 00 (7 3q .7. CC)
FEES: Valuatio l n Permit Fee Paid Park Dedication
ISSUED BY Z. S.f..e.e.A.,,,,,.......:— Date S ly `10 Final /O.P.
In the performance of is work I agre' o perform all wojk pursuant to rules governing the described construction.
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SIGNATUR
ENT /OWNER
DA
ADDRESS X11 e v
TELEPHONE
DATE 472 3 Ins
NAME /Zrf -x ADDRESS
LOT BLOCK !WARD
SUBDIV. ZONE
STREET NO.
7 S (p4-�. o f LOT DIMENSIONS
SIDEWALK EXISTING YES NO [E]
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 8//Z ,I9 G1'd BY
FEE: $'15.00
DEPARTMENT OF PUBLIC WOKS
I, the undersigned, owner or agent of the above describe property agre= o have the
grade established before excavation has commenced.
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