HomeMy WebLinkAbout0040297-Building NO
CITY OF OSHKOSH N ° - 40297
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Q'O DbeEWCab PLAN NO.
OWNER Pe-ree ANo / el HfQ/ eU
y
DESIGNER
USE /NATURE OF WORK CST //i /o? R6/t. / �o r)) J.v6
Pr D66 cam 7sr7,u6 ��° 5 / jf,L/�6 9' i 23
Mr s70oro •
BUILDING CONTRACTOR PhllC H4
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR /0 ' Sl fio,u
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR W (7ZE
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /)/i'1r
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 `•: : 41.41 .• Permit Fee Paid $ Q_ Park Dedication $
ISSUED BY / I i [ . � Date 6 //9 Final /O.P.
In the performance of - . rk I agree to • all wo pursuant to rules governing the described construction.
SIGNATURE 6/ ''
AGENT /•W R
/*W DATE ?
ADDRESS
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TELEPHONE #
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OWNER ��f 1 /J�' 1 DDRESS
DATE s d PERMIT # `) T USE a f :; E
P/-1 /C Z Work c ns�ts of
• GENERAL CONTRACTOR /#00K lid • ?dricYUj
MASON CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
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77? rev- ACS
Front of lot MAILING ADDRESS
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