HomeMy WebLinkAbout0012049-Building 1*--1.-) CITY OF OSHKOSH No 12049
PERMIT — APPLICATION AND RECORD
TYPE: BLDG X] HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 / "c r ( PLAN NO.
OWNER C2 c— i + !4L ,/ e jv- e
DESIGNER
USE /NATURE OF WORK t - . _ E. . l` .i .,► u
/
Q GC C �i � t • A. C# V .S 7 V
I
BUILDING CONTRACTOR t r ( Ztrec . /
Size Sq. Ft. 1Rooms # Stories Height
Foundation Class of Const. Occupancy Permit __
HEATING CONTRACTOR ___—_
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR , Se c__ L 4 f�— jIj,
/
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR (T o 77:` e 1—
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
' _ --o0 i
FEES: Valuatio $ l � i J �t Fee Paid $ 1-- Park Dedication $ ~-
ISSUED BY I� /! _ 7e M,Al ... Date (' 3 7 Final /O.P.
I \ //
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE "(/- %A //3/1'
AGENT /OWNER DATE
ADDRESS /c
� ncre,,, t . ,-3l — .9/
TELEPHONE #