HomeMy WebLinkAbout0028343-Building (window) CITY OF OSHKOSH N2 28343
PERMIT APPLICATION AND RECORD
TYPE: BLDG jr HTG ELEC PLBG SIGN p ZONING FLOOD PLAIN HEIGHT
ADDRESS i t!" q L- PLAN NO.
OWNER ..�'.r e%:rT<
DESIGNER j/ y/
USE /NATURE OF WORK !1 1 /'A.? 144,1;9 3 Cefe-- Z
BUILDING CONTRACTOR 6L t =el
Size 5 Sq. Ft. Rooms Stories Height
Foundation Class of Const. d 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 7 3 O cD O c7 Permit Fee Paid 3° Park Dedication
ea ISSUED BY Date S�/`f /4 z-- Final /O.P.
In the performance of thi work I agree to p orm all work pursuant to rules governing the described construction.
SIGNATURE (tit. Cl
AGENT /OWNER DATE
ADDRESS 20 4 .5 ir?o r o f 6 6
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