HomeMy WebLinkAbout0003449-Building CITY OF OSHKOSH No 03449
PERMIT — APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC 111 PLBG ZONING ale PLBG ❑ SIGN //� t
FLOOD PLAIN SLR HEIGHTALA
ADDRESS a 4 3 r M L &/e( v4 ��-
(�� PLAN NO.
OWNER LO0 LS -�►L T r €, J , 2431 M Uvr/lvA S i 233 — 834 I
DESIGNER
USE /NATURE OF WORK s L (--- icni /Lcy # :574 N'C , j ( )
( ) .t14 74 C-4-1r 0 ,l1r?.4C .E -
C,,o / k /2o / Lc c 7 r 6o 't g z./ ' L._ z//z• '
BUILDING CONTRACTO J4 // P WJLii0 ___ Co.Af4LC �x .fig vC bo t.j, -may
Size °l k '° Sq. Ft. 20 # Rooms / # St ri Height
res / /3 lZe
Foundation s /�^z£,?iE �(A Class of Const. v Occupancy Permit /d(Dc/44ev
itzw,o/gcX'e-D //) p..2G
HEATING CONTRACTOR A./0/1//f--.
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 /(.0/O.ot/e.
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 ( 7 eo Permit Fee Paid $ cg 5 / Park N74 a k Dedication $
ISSUED BY ,ra /, T - /V -8 7 ( a 7
Date Final /O.P. 7 h
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ��� \8 N — /4' —c 7
/ l /r AGENT /OWNER DATE
ADDRESS( / 7 L3 / �wytWI- 33 S'3Ci
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