HomeMy WebLinkAbout0028509-Building (roof) CITY OF OSHKOSH N° 28509
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SI ZONING FLOOD PLAIN HEIGHT
ADDRESS /0/ S (.(1,e--p2- iKd--e PLAN NO.
OWNER 9 A
DESIGNER
USE /NATURE OF WORK /�--7'72 -e-x< A� x /,072- .Z( a..7,c-4,- -1
BUILDING CONTRACTOR .--1- i ad/C--
Size a, Sq. Ft. Rooms Stories Height
Foundation Class of Const. d Occupancy Permit !V
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 $"0 d J Permit Fee Paid f Ste° d Park Dedication
ISSUED BY Date V L Final /O.P.
In the perform. this wo,f agree to perfor work pursuant to rules governing the described construction.
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SIGNATURE
AGENT /OWNER DATE
ADDRESS
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