HomeMy WebLinkAbout0024521-Building (interior alterations) CITY OF OSHKOSH N2 24521
PERMIT APPLICATION AND RECORD
TYPE: BLDGHTG ELEC PLBG SIGN ZONING t°" �.3_ FLOOD PLAIN HEIGHT
ADDRESS PLAN PLAN NO.
OWNER lL I h- M. e La_ S'ie C 'e
J
DESIGNER
USE /NATURE OF WORK 'i e -S'-s' v l O➢`� ze.•
Atff er-c„-i e e-- 1, r./ e .1-
Co t e A `C/ f co C s /`FP 2 Fr- 4 2 �cc.D�'/ i'cn p-. 4 P7 �o P'"
BUILDING CONTRACTOR C.:75 te_,/1eI"' hear m. AA_
Size 4g X 7.� Sq. Ft. Rooms Stories Height
Foundation Class of Const So r
Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 2
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR A4 tt- n ov
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
Y
FEES: Valuatio DAMS Per it Fee Paid lie Park Dedication
ISSUED BY Date 7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
7 vcr„ T /OWNER D E
SIGNATURE
f� y 2 E N
ADDRESS l t O r f o �J f 5 O�'7�1 056 G4-J -2 3 S 5 l 9
TELEPHONE
t'verel`7 K.) /(e`1
OWNER A)ettf1 e Lcv r/..14 et-it es ADDRESS 3? iE R' d4,cp
DATE` .6,Af PERMIT r USE fs c ii/
Work consists f
GENERAL CONTRACTOR Jf./,p� �.�-c4
i n c ,...5 i
MASON. CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
A REMARKS
44 Pb..,,A0-4 .:»P
o I
v A J 1 2,
O
t
1
CIO
r
NO
Front of lot MAILING ADDRESS