HomeMy WebLinkAbout0013654-Building (roof) CITY OF OSHKOSH
(41•D 13654
PERMIT — APPLICATION AND RECORD CO
TYPE: BLDG1TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 2 1-1/11 S' PLAN NO.
OWNER _ P — C e : _
DESIGNER
USE /NATURE OF WORK r' Ga re CIA C'7 XP:dee/ I'JOb f R /o ci,Y("
/ ,
BUILDING CONTRACTOR r` /
Size Sol, # Rooms # Stories ( Height
. Foundation / 1 Class of Const. €' 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
k.
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
1
FEES: Valuation $ _v. #. ° ; - rmit 4. $ Z.-S - / Park Dedication $
ISSUED BY 4/.(4.. _�.��.../ Date 6 -6 - c P7 Final /O.P.
In the performance of this work I agree to • = orm all work pursuant to rules governing the described construction.
SIGNATURE 4_ / / '" " �`"l - ��
AGEN OWNER ' DATE
ADDRESS Q'/-. 75 "7/4/7/ . /"%57--\ c 6
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