HomeMy WebLinkAbout0012987-Building CITY OF OSHKOSH No 12987
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING M FLOOD PLAIN CAI_ HEIGHT/C/A
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OWNER
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DESIGNER A A ° #/ �^
USA/NATURE OF WORK MAC-a<<`-- A ` b J`t�'�T ( / { �C 1 L ,, -4 /
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BUILDING�CONTRAC1OR Al 4( - A e�sct-1
Size °sf k472 / Sq. Ft. e g i / # Rooms / # Stories / Height /t-'' �� 4I <
Foundation/'d C_a4411 Class of Const. / S' Occupancy Permit r
HEATING CONTRACTOR • •
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
7
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /6
- BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
FEES: Valuatio $ 9- 0 Permit Fee Paid $ 3s ✓ Park Dedication $ /i
ISSUED BY j '� Date `4` ? Final /O.P. fo L" 8' f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7,4,4 Z - 2
GENT/OWNER D E
ADDRESS / . ' .-1-N 2: 3 3 ---C(�,®
TELEPHONE #