HomeMy WebLinkAbout0030018-Building (steps, platofrm & door) 4.) CITY OF OSHKOSH N° 30018
PERMIT - APPLICATION AND RECORD
TYPE: BLDG
X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ?I l' J PLAN NO.
OWNER e. .„/i � G„„1..6 .A
DESIGNER
USE /NATURE OF WORK .f Z It '.. !L / cr-o-tiel z,„„
r
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reetaZZGe L B -riLe4 A-ad 2
BUILDING CONTRACTOR 001
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit /f.."2
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 $ /Pe/ ' el U Permit Fee Paid $ Park Dedication $
ISSUED BY d` - 1 .v Date q' /' -7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE vc-/ o`
AGENT /OWNER DATE
ADDRESS
TELEPHONE #