HomeMy WebLinkAbout0040048-Building (roof) /W
CITY OF OSHKOSH N ° - 40048
(11111 PERMIT -- APPLICATION AND RECORD
TYPE: BLDG K HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 99 /" !' ! /Nit b 6 ..C7*' PLAN NO.
OWNER 4 /LL �CNU
DESIGNER
US/NATURE OF WORK (s'FP)
E iC ctsY Ho E AiuA 6.<1 a;
(7642 orF € us, 7,v6 pnyliziep
BUILDING CONTRACTOR (X0/U6R
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit N °
HEATING CONTRACTOR
Heat U 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 l Sn� Permit Fee Paid $ ` :: eica $
ISSUED BY Date 6 /a0/9 y ---
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
It. SIGNATURE ao,y; 6/2-6/9
D AT Q
E
ADDRESS 1 ( Y? /-74,4 e s'o4e S f .9-3/" 56 lc
TELEPHONE #