HomeMy WebLinkAbout0021957-Building (raze shed) CITY OF OSHKOSH N9 21957
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 Z Z (.l) • 577/"..A-10-c-4/ PLAN NO.
OWNER i -� �.
DESIGNER
USE /NATURE OF WORK 1 Z-
BUILDING CONTRACTOR /
Size Sq. Ft. # Rooms # Stories Height
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
Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuation $ " / Permit Fee Paid $ it) "d ° Park Dedication $
ISSUED BY 9t/c Date f 1 -12 - 7/fa Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 9eik-K" C/ LA/ .t.1-4e% / .,1-,
AGENT /OWNER DAT
ADDRESS ` -7 6 ✓' /71 1 4e 0 00ilK �,>7/ d 'f
TELEPHONE #