HomeMy WebLinkAbout0045598-Building (driveway) h//
CITY OF OSHKOSH N 45598
PERMIT APPLICATION AND RECORD
TYPE: BLDGHTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /'7.s %pj PLAN NO.
OWNER E SN a);"- r
DESIGNER n
USE/NATURE OF WORK race- (�oc 0-t? k O due_ f ri ic.
ce pvt 4 (9040Q_ rl of 1S IP f€
BUILDING CONTRACTOR 1/4, J -e-ir
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit .�L—
HEATING CONTRACTOR
Heat NC 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: Valuati �4 it Fee Paid Park Dedication
ISSUED BY`ger
111111
.r.1,.. Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l i k 1 i L ic)//91
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