HomeMy WebLinkAbout0028299-Building (interior alterations) CITY OF OSHKOSH N9 28299
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG 111 ELEC PLBG SIGN ZONING ,L FLOOD PLAIN HEIGHT
ADDRESS 3 IDA PLAN NO.
OWNER /I 0
DESIGNER
USE/NAT
/N NATI�RE OF WORK u
1
Gt.• /D`'R_✓ ,.t r _mot
BUILDING CTOR .o�'�
Size Sq. Ft. Rooms 5 3 4 Stories 1 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 O a Permit Fee Paid -2 0 p Park Dedication
ISSUED BY P Date /3A/9 Final /O.P.
In the performance of this wo I agre to pe orm all work pursuant to rules governing the described construction.
e
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE