HomeMy WebLinkAbout0021222-Building (windows & doors) CITY OF OSHKOSH N2 21222
PERMIT APPLICATION AND RECORD
TYPE: BLDG X HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7/ 7 G PLAN NO.
OWNER a
DESIGNER
USE /NATURE OF WORK �-e L CG �dL.6t�
BUILDING CONTRACTOR 527:04..■le. 1
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit /vv
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
6o-2-z. ii I
FEES: Valuation 00 Permit Fee Paid r By Y r Park Dedication
CIT!frtC�fl (r is tit
ISSUED BY Date /0iS F inal /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
'?4(7- AGENT /OWNER DATE
ADDRESS
TELEPHONE