HomeMy WebLinkAbout0036555-Building (header) N2 36555
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG pC HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /O/c W /N 4b g
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK �N ALL /1 I /VS% /<L( eC. S4/2A/VC6
BUILDING CONTRACTOR LU ELLS NO446 /A1 u CV
Size Sq. Ft. Rooms Storie Height
Foundation Class of Const. Occupancy Permit WO
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 3-17/i,--,* oo Pe rmit Fee Paid `3'
nn Park Dedication
ISSUED BY PA.4 .T Date lbi 1 Q.3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
sor
SIGNATURE /0 a6 -73
NT /OWNER DATE
ADDRESS 7c 5, i� e- C.1 C 2 5' d 40
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