HomeMy WebLinkAbout0024974-Building (roof) n _ CITY OF OSHKOSH N° 24974
PERMIT APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7' 0 c 99z f/ , i OA—
PLAN NO.
� J �L�/� u
DESIGNER 011-Gae.ay USE /NATURE OF WORK 4 k,_1_,( .1.) M-TTI / �/
'
BUILDING CONTRACTOR 0/1-
Size Sq. Ft. # Rooms # Stories
� Height
Foundation Class of Const. ° Occupancy Permit /64
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 °��D " 0 Permit Fee Paid $ /S� ' ° Park Dedication $
ISSUED BY Date d�z� ° l / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE it., _ 14 . II , ' 4 - 013 -9/
/ , a r (OWNER
DATE
ADDRESS p p/7 // ti.)
TELEPHONE # %3/4