HomeMy WebLinkAbout0000970-Building (addn to #20657) CITY OF OSHKOSH No 00970
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 0 HTG ❑ ELEC ❑ PLBG ❑ SIGN El ZONING a FLOOD PLAIN 7A HEIGHT
ADDRESS /o /9 " G 9#7 57- PLAN NO.
7 ! `
OWNER r r7 S/ (z.
DESIGNER
USE /NATURE OF WORK OP6t / �`i((LY i .O5tiG / � / 1 77 - 1 i/5 1 ; 7d,J o/
. 4 I 4 ! 6014( -(.. _ L. s A! / Ai6 ' (�Esk.,)
1,000,0 -1 M il-e2)i / /C) L w cv.N Z- ' -1
ce /i ,
BUILDING CONTRACTOR DC.c1/ 1--
Size / Sq. Ft. # Rooms # Stories Height
Foundation 747,-.- Class of Const. U Occupancy Permit A
HEATING CONTRACTOR 0:-
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 4 v
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 9Z-
_
BT _. WH Disp WSoft CBasin
Lav _ Sh _ DW DF _San. Sewer
WC FDr SP Ur Storm Sewer
_Sink _ LTub Eject SS Water
Other
�O
FEES: Valuation $ Permit Fee Paid $ � ,/ d - p-/ Park Dedication $i�- --
ISSUED BY Date / r es Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AZ/ alit- ter to
AGENT /OWNER DATE
ADDRESS
TELEPHONE #