HomeMy WebLinkAbout0047533-Building (lower level) /1z)
CITY OF OSHKOSH N ° _ 4 / oJJ
PERMIT — APPLICATION AND RECORD
TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESSf --Z 70 k 'Pc )'Jai-‘ PLAN NO
OWNER 1r-fa e" - L- u elQ O
DESIGNER k _`
USE /NATURE OF WORK S� ��-� t k t Lc, .- e cy�st 7` " t .,_,— k rIk� ,0
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BUILDING CONTRACTOR Pfr
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Size � V C yy i Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit mil)
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR (-1 / -
/ i /e c r'c A ( 1, (, e-0,....._ Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Z
_ 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 $— Permit Fee Paid $ (9.._ Park Dedication $ f di
ISSUED BY nt> Date ,',/ g-r Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - pe,. Cy 054,0s), A6. ,_9 S
AGENT /OWNER GATE
ADDRESS " 040‘.) Sri S ICvSM- 02 — L$`/.7
TELEPHONE 0