HomeMy WebLinkAbout0044121-Building CITY OF OSHKOSH N 44121
PERMIT APPLICATION AND RECORD
TYPE: BLD HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 VL/ g--'►"J W,/`i PLAN NO
OWNER cant ni N
DESIGNER
man.
l f�
use URE OF WORK N (5H OE A' 41 ��1
yl LE e; r_i tif" f N iL c,� Roo-ti .mod
Oriel e_6:
BUILDING CONTRACTOR EDC-t)
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR PA
b
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR Cr-
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR .M
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valu. on r� c Permit Fee Paid Park Dedication
ISSUED BY IMI I
Date 161 9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '7
AGENT/OWNER
DA
ADDRESS 7° 6 Y 4467.4 Tj4'T e...4 Oat,' �Sl/slls,Sfl uJ2 i eyofr ?"f
LEPHONE
6 0; _p_rezp)(q�IDZ
f
T
t
OWNER y J�(� ADDRESS k (1011 A411C
DATE 3 -1 p Q 5 PERMIT 1- 1 WI USE 5F
3Lu1DY Woxk consists •f I1 .1/ •i /11!il
GENERAL CONTRACTOR so 1 1 .1 .1 i RI I
i iau�n/
I 1
MASON. CONTRACTOR ZONE
Width of' lot DATE INSPECTIONS
A
chin au6r1 ix
y
0
W
O
A
ti
Front of lot MAILING ADDRESS