HomeMy WebLinkAbout0017629-Building CITY OF OSHKOSH N2 17629
CAIrD PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS t 2-14 _k-r LK 0Pl. PLAN NO.
OWNER 1f w' e/
DESIGNER f�
USE /NATURE OF WORK 1�- t b ‘4 4t co4 ler-,
BUILDING CONTRACTOR iote4 t G�
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit �o
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 /1--re h
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
J
FEES: Valuation v t it Fee Paid 'd Park Dedication
ISSUED BY fi L.r� Date 30 -6) Final /O.P.
In the performance of this work I a. r:- perform all work pursuant to rules governing the described construction.
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SIGNATURE
AGENT /OWNER ATE
ADDRESS
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