HomeMy WebLinkAbout0043676-Building (renew #32300) Ii 3676
CITY OF OSHKOSH
N2 4
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING _E! FLOOD PLAIN HEIGHT
ADDRESS 169 W E '4/ AZ G PLAN NO.
OWNER cCO L A KAu
DESIGNER
USE/NATURE OF WORK (5 avvipcL-cr‘ lit ON Low6X. &ii&Z
OF 470 AA Le 14644 (��"iy j e) ii-i
6 )2674/003 (r Issuer 1 931 La.v6 S E 67p/ac
BUILDING CONTRACTOR enw
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. 4 Occupancy Permit
HEATING CONTRACTOR QLA.-)CZ_
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR dC.A)A- 4Z.,
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Ow1-
____BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
_WC FDr __SP Ur _Storm Sewer
Sink LTub Eject SS Water
Other
o0 00 X
FEES: Valuation S Permit Fee Paid l Park Dedication
ISSUED BY L a i G S
Date 1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A ggi. L a/,/95
J AGENT /OWNER DATE
ADDRESS v //L� 4' t vS 4 2 3/ 0 7 662
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