HomeMy WebLinkAboutBuilding (foundation only) CITY OF OSHKOSH N° 23305
PERMIT - APPLICATION AND RECORD
TYPE: BLDG jgc HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING k ~/ FLOOD PLAIN HEIGHT
ADDRESS /4 0/ /?/ PLAN NO. fib /Ole3 5 9 /XL
OWNER /
.
DESIGNER il-Ge.ci jhe USE /NATURE OF WORK 1, 5 A,
BUILDING CONTRACTOR ,,,
Size Sq. Ft. # Rooms # Stories Height
Foundation 64_ Class of Const. 12 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: Valuatio $ DOD . O t� Permit Fee Paid $ 3 r. • O ° /
CO Park Dedication $
ISSUED BY /. Date q3/c/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -4 94,(� / ' .
AGENT/ WNER / p ,
ADDRESS
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