HomeMy WebLinkAbout0027475-Building (interior alterations) CITY OF OSHKOSH N° 27475
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZO NING FLOOD PLAIN HEIGHT
ADDRESS /x PLAN NO.
OWNER 9 4,1; f
DESIGNER
USE /NATURE OF WORK k 1 Z 1 za--
&GU) flu, i• C,64..A.,
BUILDING CONTRACTOR -%e o -+5ll
Size Sq. Ft. Rooms Stories /'2- Height
Foundation 06i'��
Class of Const. D Occupancy Permit 1 c)
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 1 700 (9 -0 °I Park Dedication
0 p Permit Fee Paid
ISSUED BY i /Liter Date -2 -7 7 0 Z Final /O.P.
In the performance of this work I agree to pe all work pursuant to rules governing the described construction.
SIGNATURE 7 7 1 /L 1 S
r� AGENT /OWNER DATE
ADDRESS 7 7 t.
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