HomeMy WebLinkAbout0016881-Building (interior alterations) 41), - CITY OF OSHKOSH N°_ 16881
PERMIT APPLICATION AND RECORD
TYPE: BLDG % HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING '` 1 FLOOD PLAIN HEIGHTABA
ADDRESS I -14 g Spy U IE cJ A \/E - PLAN NO.
OWNER V kAPiti f' NMF/1 -So•./
DESIGNER L
USE /NATURE OF WOR S-) /4 L' IFs (C. �1 in I G4 I� U VC il L7/ 7 a„.) 4 7
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BUILDING COyVTRACTOR t�'� 7 l /L1���G'�l/�l/'T
Size `/ s Ti-roJ Sq. Ft. # Rooms # Stories / Height
Foundation Class of Const. 14 8 Occupancy Permit U
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: Valua ' g. G 0 Permit Fee Paid $ 4/0 %/ ././//4
Park Dedication $
ISSUED B , _ AT, Date ! 1-(7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ �im _ ! ) _ 1 _. ? J 0
AGENT /OWNER , �� DATE
ADDRESS > CO S, p ... 4 i 'd —1 \-- '.,� 'O
TELEPHONE #