HomeMy WebLinkAbout0021223-Building (windows & doors) CITY OF OSHKOSH N° 21223
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 L�i6 -e-es-'e-
PLAN NO.
OWNER ,-:-.t —4.1-
DESIGNER
USE /NATURE OF ORK i /Awe
�iLC. /4 deLC.
BUILDING CONTRACTOR Q�nyt
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit NU 'J
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
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 6 4 2_2_ c
o a Permit Fee Paid L3y f ?e,i'oir t L
P1-44/ orn twirl Ci?l9r 1 Park Dedication
ISSUED BY 4./.4.4)-0-...". Date jD`ZV Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 'l
AGENT /OWNER DATE
ADDRESS
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