HomeMy WebLinkAbout0022657-Building (windows) 4). CITY OF OSHKOSH N2 22657
PERMIT - APPLICATION AND RECORD
TYPE: BLDG % HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
3/7
ADDRESS PLAN NO.
OWNER ;1 R e `�y,r edi
DESIGNER ��/
USE /NATURE OF WORK ' a- .1 -- C.,itCu/ dez.
/ �',% red
BUILDING CONTRACTOR eii. -1- 1 -4- 4
Size Sq. Ft. # Rooms # Stories / Height
Foundation - Class of Const. Occupancy Permit's
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: Valuatio $ 300 O. PO Permit Fee Paid $ . • Park Dedication $
ISSUED BY A/././snc - Date - 0 7 / Final /O.P.
In the performance of this work I a ree to p rform all work pursuant to rules governing the described construction.
SIGNATURE 3, l g.- q I
/_ AGENT /OWNER DATE
ADDRES 7 D V 5 PWcA 5- 6/ 0 G
TELEPHONE #