HomeMy WebLinkAbout0040237-Building NO
CITY OF OSHKOSH
N9 40237
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 03( HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS g_33 V itu mi) e7; PLAN NO.
OWNER / i / / CMEL HA/1M
DESIGNER OM ,� L � USE /NATURE OF WORK i (�e° ✓ I�4/IO06Z A.)6
c19 g /toe 3 , w /zip Y a_0/ /606
BUILDING CONTRACTOR /044 GU/ c.Cd ; jotc 267
Size Sq. Ft. # Rooms # Storie Height ,t
Foundation Class of Const. Occupancy Permit �`��
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 2S--) j FEES: Valuatio r Permit Fee Paid $ `7 �d r/ P Deca $
ISSUED BY Date 6Ir'1 /g (
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' \_ � 1��-� L ILIII. t� _ ._� \.� -.
AGENT /OWNS' DATE
ADDRESS v \ - -G ` A _ '� • A IL C _3� " V�i
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