HomeMy WebLinkAbout0022389-Building (foundation only) CITY OF OSHKOSH N2 22389
PERMIT APPLICATION AND RECORD
TYPE: BLDG J1 HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /95d Ze,4A� /VA- PLAN NO.C-r /OS? //9/2
OWNER (lakal
DESIGNER •g
USE /NATURE OF WORK Et. -/!'tom
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CcLTRACTOR
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 goon' 0 0 Permit Fee Paid 571" O Park Dedication
ISSUED BY .r 14.rt-st-sue Date r9-1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE Y o��� ��7
AGE 7- _,--<-1
T /OWNER D E
ADDRESS 1-1 --oil"-, S 5 /e)
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