HomeMy WebLinkAbout0030788-Building (soffit & fascia) CITY OF OSHKOSH N° 30788
PERMIT APPLICATION AND RECORD
TYPE: BLDGHTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 19 30 AA, 1-e t-04... h f' PLAN NO.
OWNER v� c S I' S v
DESIGNER q�
USE /NATURE OF WORK l 4l r o NA- p`Rit' G t�GL_
BUILDING CONTRACTOR Le Y
Size Sq. Ft. Rooms Stories e Height
Foundation Class of Const. c Occupancy Permit -/lJp
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
c
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 /Aair2 16 Per i Fee Paid –S Park Dedication
ISSUED BY _41/ i Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ieeletec.11 7/7/F0'-
AGENT /OWNER DAAT
ADDRESS 57 7 (..61,f°t: ....q DJ 1 c:9 -6 -C71
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