HomeMy WebLinkAbout0031371-Building (remodel 2nd floor bedroom) CITY OF OSHKOSH N2 31371
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7a 1 /C r it '�S o� � PLAN NO.
OWNER h Lr e_ s�{ u r'd 6 S
DESIGNER n / /�
USE /NATURE OF WORK�� f f-- � O cue / .% - e.0 � D `t o , -t at
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u �' r f ,p c,N si-u ep ..._4 d Gl`- u h ./ et ff e- 4 )(' alt o � 4-/( �lkt eE'. nn ? ,)jE%a r 419 Ol
S oi-� `�i2ss 0�C c� �i p /I 442 �'P ' 4.. hi r 1.f Oti OP k(..
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BUILDING CONTRACTOR L( ., ►` f' i i. 3
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Size Sq. Ft. # Rooms # Stor c Height
Foundation Class of Const. 453 Occupancy Permit
Q1`ecc- t—erLA ( 0" ci_e n CCn �( i i– /t0 tt a / ?l°Iti /fit r
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
C_
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
Y
FEES: Valuatio e j
, - it Fee Paid $ 2.,......c.__
Park Dedication $
ISSUED BY 0 .,�i Date / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � ! A , - 4' �' A GENT /OWNER DA r-r
ADDRESS /W_ _jaV t f/i // shi ,?3
L EPHONE #
OWNER ADDRESS 70 7
DATE PERMIT # USE
Wbzk consists of
CONTRACTOR ZONE
DATE INSPECTIONS
FOOTING
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A K _ BACRFILL
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