HomeMy WebLinkAbout0033567-Building (raze garage) CITY OF OSHKOSH
N2 33567
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ EL C El PLBG El SIGN ID ZONING FLOOD PLAIN HEIGHT
ADDRESS I o & )-,7G ( • PLAN NO.
OWNER I°
DESIGNER
USE /NATURE OF WORK_ ,.eilterlsk' 5
BUILDING CONTRACTOR A
Size / )`/1 Sq. Ft/ (O # Rooms
# Stories i Height
Foundation 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
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: Valuation $ — 0 '.-' Permit Fee Paid $ /0•0d
Park Dedication $
ISSUED BY d rc/14 Date 4- 7 fi Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE j err 2 3- 7
AGENT /OWNER DATE
ADDRESS / Z��/ ,Cif—d(-3
TELEPHONE #