HomeMy WebLinkAbout0047114-Building (windows) P7
N2
47114
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ` HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ' / O a s ►-^ P 5 n PLAN NO.
OWNER c---\e" ('A -v.% ce_. 3 r1Jd'1 c AJt I LL
DESIGNER n 1
USE /NATURE OF WORK C 2 .r .,. i) `tine El �,1'nZ Ow- S i DA rA. aL_
BUILDING CONTRACTOR . - c
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 6 Occupancy Permit • ----1
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
�v�, OCD i
FEES: Valuation $ c (t 7 Permit Fee Paid $ / L Park Dedication $
ISSUED BY pg Date e l " / 0" °) 5 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
- 6J f / /,..
may - AGENT /OWNER �� DATE
�DDRESS / 9 7-?- v/ r' r �ic�' a34 ‘' 7 9
TELEPHONE #