HomeMy WebLinkAbout0043980-Building y®
CITY OF OSHKOSH N 43980
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 12--?1 late ce. `Ci P /d a 9 i PLAN NO.
OWNER (0 I% i
DESIGNER f(
USE/NATURE OF WOR C l ifs Q.s1i�/ �/�G 1,, t.,
/n Yl OA V 'CI Q v I'
BUILDING CONTRACTOR t9 Pt..`er
Size' L— Sq. Ft. Rooms Stories Height ,,��f
Foundation Class of Const. Occupancy Permit O
A
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR CAS /1 1
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR OA/ P1 t° r
BT WH Disp WSoft CBasin
_Lay Sh DW DF __San. Sewer
WC FDr _SP Ur _Storm Sewer
Sink LTub Eject _SS _Water
Other
FEES: Valuation ----C-0 r� Per ee Paid Park Dedication
ISSUED BY igi .J
g ill Date Final /O.P.
In the performance of this work I agree to p =rform all work pursuant to rules governing the described construction.
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SIGNATURE 0 q s
AGENT /OWNER DATE
ADDRESS /0 f 1- i LI 1 4..ILL y .233-/ ?Pi
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