HomeMy WebLinkAbout0011519-Building CITY OF OSHKOSH No 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING re-- FLOOD PLAINV EIGHT
ADDRESS 1 ( ' W-. 'Ell �V- 1' PLAN NO.
1 OWNER t?—co- A PA"r' G1-
DESIGNER
USE /NATURE OF WORK_ r r [e. r u t f` / . F' kic a et 0 / - / k lic.A en
7 h. __‘.4_.> sl Z. ___
BUILDING CONTRACTOR wt -3'
Size P Z r 12 Sq. Ft. # Rooms # Stories ` Height
Foundation Class of Const. 6 Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR W Z k e
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ..---l (4't Pt— �
BT WH Disp WSoft CBasin
_Lax/ _ Sh _ DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
- Sink LTub _Eject SS __Water
Other
FEES: Valuation _ .• • O /mi � - Paid $ O Park Dedication $ e"---- ISSUED BY OI _.L , 4—.-4._.ii,1/ Date / L ` 2 `gE Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
‘ SIGNATURE ......"
f. ... ( Z Z
AGENT /OWNER DATE
ADDRESS / Z ZI o y 'Z $77
/ TELEPHONE #