HomeMy WebLinkAbout0033438-Building (roof) /(7
CITY OF OSHKOSH N° 33438
PERMIT - APPLICATION AND RECORD
TYPE: BLDG yQ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 77 °7 )716-n-74.."-- PLAN NO.
OWNER �����;�' "'/
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DESIGNER �j� �► "
USE /NATURE OF WORK /f/i / /rC.ed , o-t O'h� Cr2.4.– (6
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BUILDING CONTRACTOR l-fl /
Size ^ Sq. Ft. # Roo s # 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 $ 2 - 37 0
7 2 ( l Permit Fee Paid $ �• v 0 Park Dedication $
ISSUED BY i� .(,(4cr�� Date 1 7 4 /. 4 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (0� - / 8
AGENT /OWNER DATE
ADDRESS
TELEPHONE #