HomeMy WebLinkAbout0034910-Building (siding) /K(
el) CITY OF OSHKOSH N2 34910
PERMIT - APPLICATION AND RECORD
TYPE: BLDG(HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6/z IdAital PLAN NO.
OWNER '. 2 /G - _Gr
DESIGNER /
USE /NATURE OF WORK ( 17- 0.4 (/f ."-'"
d GEZ.€6.-9X -(4_ of 4,-7 ,-,
•
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories 7iv Height
Foundation ��+ �--
Class of Const. O 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 $ S ®O 0.•0 p Permit Fee Paid $ T ' v O / Park Dedication $
ISSUED BY77141. i,Gf ' ' Date 7/, 61 /C3 Final /O.P.
In the performance of his wo I agree perform all work pursuant to rules governing the described construction.
SIGNATURE 7 J6-613
AGENT /OWNER
0 ( S � DATE
ADDRESS 5 t/06 •
TELEPHONE #