HomeMy WebLinkAbout0047327-Building (roof) N/
CITY OF OSHKOSH N °- 47327
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC
❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /933 I l I CA( �1 /yI PLAN NO.
OWNER /t
DESIGNER r /�
USE /NATURE OF WORK 5/' /C — t m i
BUILDING CONTRACTOR 4 e
Size Sq. Ft. # Rooms # Stories 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 $ . Q • 06 Permit Fee Paid $ /0,6C3 I Park Dedication $
ISSUED BY Date 9- ca Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
4 GNATURE .I,. .1 q- a a -q 3
AGENT /OWNER DATE
ADDRESS / ` / R
TELEPHONE #