HomeMy WebLinkAbout0030621-Building (roof) CITY OF OSHKOSH N2 30621
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 7 Cip j. U`Citc) Q4 • PLAN NO.
OWNER 1" (tJ 4eit av!! 1*o-yy
DESIGNER P USE /NATURE OF WORK /7 A o- ; / - / • `
/
2- to s
BUILDING CONTRACTOR Otd",121
Size _If_ Sq. ' Ft. # Rooms # Stories ( Height , /
Foundation Class of Const. O Occupancy Permit /t/O
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 $ /1- 0 1 0 D Permit Fee Paid $ A' d D ✓ Park Dedication $
ISSUED BY ,9"-X-1"--- j,(1 Date 0/7'Z' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4 AL-. - C. •
AGENT /OWNER DATE
ADDRESS
TELEPHONE #