HomeMy WebLinkAbout0015956-Building (misc. exterior) CITY OF OSHKOSH N° 15956
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING 1 FLOOD PLAIN HEIGHT
ADDRESS CTS k r'c#&' D PLAN NO.
OWNER .„„%A, t N1___SP f‘C ti
DESIGNER
USE/ ATURE OF WORK 11. Ad Ac
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BUILDING CONTRACTOR it r'dka ads.
Size Sq. Ft. Rooms Stories t 4 Height
Foundation Class of Const. 6 Occupancy Permit en
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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation J Y Per 0 a Paid .P.
11
In the performance of this work I agree to erform all work pursuant to rules governing the described construction.
SIGNATURE 7�arr-11$ A/ /o l9' Of
A ENT /OWNER DATE
ADDRESS /0 007 7 ST. ,x-2172
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