HomeMy WebLinkAbout0047369-Building 1
CITY OF OSHKOSH
N! 1369
PERMIT — APPLICATION AND RECORD
TYPE: BLDG]' HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Qb (C I " n c (Mc. PLAN NO.
OWNER ---,---yl1'1 S n
DESIGNER ` d USE /NATURE OF WORK �
i - 1 1 tl r LI L.•. 4 I'
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BUILDING CONTRACTOR \ �� ` �_ d - r - r�, 4 S 4 �s Roc ,.A1.,(00 M
Size Sq. Ft. # Rooms # tories Height
Foundation Class of Const. Occupancy Permit 41141
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
_Lay _ Sh _ DW _ DF _San. Sewer
- WC _ FDr _SP _Ur _Storm Sewer
- Sink _ LTub _Eject _SS _Water
Other
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FEES: Valuation $ fl 0 C� c' Permit Fee Paid $ ��" Park Dedication $�----
ISSUED BY Date I .— D Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE VrIAM r` `5
R' ;,1s -9S"
AGENT /OWNER DATE
ADDRESS 2 ‘ I (t►\ ■Nurvc S+, Osln kcst i wz 51 CO ( r 3S - 23 .5
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