HomeMy WebLinkAbout1987-Building (windows) CITY OF OSHKOSH N2 03747
PERMIT — APPLICATION AND RECORD
TYPE: BLDG'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ' ' FLOOD PLAIN HEIGHT N (1
ADDRESS ' a j Je, - S' W ki Kit- S (, PLAN NO.
OWNER ( ‘ keS 0SEP/ 4 L. ER--
DESIGNER
USE /NATURE OF WORK 4r — 4406e1ce . 1 or (A/ (4,00 ocj (-4/
^ S +mil r UV( A /00 WS QA1 A/ (,COL c.c. e 4 eV? Li) WC. 41-7 N ,C V�N - 0 ,cl ".0A 'trt -o'
BUILDING CONTRACTOR ►■ V V fSIA/d KA---
Size `I ›C r (0-40 Sq. Ft. # Rooms #2,ories Height
Foundation Class of Const. a Occupancy Permit
HEATING CONTRACTOR 4. Ic'A %..
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR /_ION'..
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ,AJQA/ -
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuati n $ ` U Permit 0 / /
ermit Fee Paid $ Park Dedication $ /� /
ISSUED BY Date Park
4 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �� ∎5 /3/, ?
AGENT /OWNER DATE'
ADDRESS / l 7 .. .3i r ) /).
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