HomeMy WebLinkAbout0019121-Building (shed) CITY OF OSHKOSH N° 19121
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING /Z { FLOOD PLAIN HEIGHT
ADDRESS /....1 0 Xia.46du--( PLAN NO.
OWNER Gl) (' I I /g
DESIGNER /
USE /NATURE OF WORK Z P f / _74 P.�.-cs.� L ° �GISC.,
BUILDING CONTRACTOR V p- --p Gc9-e,
Size gx Sq. Ft. -4 2 /( !r # Rooms / # Stories / Height
Foundation ' f: ,,-- Class of Const. c 5;::'- Occupancy Permit ■e
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 $ - 00 Permit ' -e Paid $ d Park Dedication $
ISSUED BY /.'k , ilk . , ,___i ;i
Date -� ��'� . Final /O.P. G S - '?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
,....-6.de L- .-------
AGENT/OWNER SIGNATURE DATE
ADDRESS
TELEPHONE #