HomeMy WebLinkAbout0038333-Building CITY OF OSHKOSH N° 38333
PERMIT APPLICATION AND RECORD
TYPE: BLDG% HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 03 W gEnr Ez.2) w/Q/ PLAN NO.
OWNER DAN IAJI LUAmS
DESIGNER 43/4
USE /NATURE Dc OR Nl SN OFF LOW CR CSC►/ z.
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j4 v12E/h too 75.
BUILDING CONTRACTOR DW//67Z
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 CONTRACTOR P)G(J/t164P
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 1 -oo• Tr....,
Fee Paid Park Dedication
ISSUED BY Date VZ/9 9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ba....„ 3 --z q
A 'L1 AGENT /OWNER DATE �j
ADDRESS 123 7 V HErT T F, EP w .233 -2.2?
TELEPHONE
OWNER ADDRESS ?3 wheoWeld
DATE OM PERMIT USE R
Woxk consists of
GENERAL CONTRACTOR pia usit� l 6
MASON. CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
A /N 7 c/
V 4 d7 77 4f -c ro
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Front of lot MAILING ADDRESS