HomeMy WebLinkAbout0004911-Building CITY OF OSHKOSH N9 04911
PERMIT - APPLICATION AND RECORD
TYPE: BLDG'` HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING " FLOOD PLAIN_ HEIGHT
ADDRESS 3 1 l4:, SP o (A J . 12.1 V PLAN NO
OWNER / L. V1 1 Ni AN b € L.SO)J
DESIGNER �^ [�' ,�i
US ATURE OF WORK c) I,II�LE l << 4 torivcc. /�� % CNcf /V /� ,66,t Ca
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R ED A° C)M kJ f Q()Z /3 ON
� YZA VT 6 "(a K CIA pc)/ 4.6 ktrCs
BUILDING CONTRACTOR 6 GO i-4 (° sk' (Size$/x/a.lv/ °' f
,, ti 4 t• `� d - # #Stories .2/ Height
Foundation Class of Const. *6 Occupancy Permit Nor" 44V/40
HEATING CONTRACTOR /Oa/Iie,-
Heat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss BTU'S
ELECTRIC CONTRACTOR 2 0C.— � F
ACTOR - 1 ( // � 'C/I/( [�
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR hA Vk Cs-ILA 2 IC.
BT WH Disp _ WSoft
CBasin
Lav _ Sh DW DF San. Sewer
WC — FDr SP Ur Storm Sewer
Sink _ LTub _ Eject _SS
—Water
Other
FEES: Valuat'. , 3 v Permit Fee Paid aid $ -7 A/ Park Dedication $ � 44—
ISSUED BY 1 . r a 1.1..,. Date a-1,2 - G /
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE - - � . Y ,
AGENT /OWNER
7 �l DAT'
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ADDRESS < � � C� 1 , t �i�- /� fr� 5 -- j
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