HomeMy WebLinkAbout0021221-Building (windows & doors) CITY OF OSHKOSH N2 21221
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /94P �C Qdr� c PLAN NO.
OWNER 4mr
DESIGNER
USE /NATURE OF WORK
/ee, Ge %s -ca' G2
BUILDING CONTRACTOR '7 a-
Size Sq. Ft. Rooms Stories Height ll
Foundation Class of Const. Occupancy Permitll/
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
By Resol
FEES: Valuation 0 •0 0 Permit Fee Paid r;orirrinn Dedication
ISSUED BY 1 Date G+
U Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
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