HomeMy WebLinkAbout0045591-Building (deck) f /l
CITY OF OSHKOSH
N2 45591
PERMIT - APPLICATION AND RECORD
TYPE: BLDG.HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / kre, d a c._ i° r 44 `c a PLAN NO.
OWNER n• c^"r y s
DESIGNER /
USE/NATURE F WO - N " � �� / r"' " c j 4. !` h r
U. x /!o 'F .w x
BUILDING CONTRACTOR 0.1.0 e
Size Sq. Ft. # Rooms # Stories Height fillill l If
Foundation Class of Const. 65 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
a.
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• c. _ %!> > .--.—
ermi F : = Paid $ Park Dedication $ �_
ISSUED B 4 /i. / Date .• Ar FinaUO.P.
Milh
In the performance • is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4)44,----
J AGENT /OWNER �� l'
A
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ADDRESS 9 U,' —1 /57/
TELEPHONE #
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