HomeMy WebLinkAbout1992-Building CITY OF OSHKOSH N°_ 28150
PERMIT - APPLICATION AND RECORD
TYPE: BLDG'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3D /V • _So c4 �/ et PLAN NO. // JO 's "7 P
OWNER Zt 9r1.-re S f / l / C_ t ]L- at t `P Pt
DESIGNER
USE /NATURE OF WORK _ ,..0.‘ 0 c&.- t�.G �� - if ��
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BUILDING CONTRACTOR r ( ,` i-, 0n w �V't`
Size 't/® C LtlrFt. # Rooms #}X�-Stories / Height /
Foundation V Class of Const. Cs* Occupancy Permit 0i e)
HEATING CONTRACTOR 'F
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR L. -t.Xlu- r -
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lax/ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation '. . • + 6 ' d P it Fee Paid $ Park Dedication $
ISSUED BY Oh __5 �
Date ° s Final /O.P. -/-2 -9.2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ; � � �.`, /
4L/_
,/ / AGENT /OWNER DATE
ADDRESS 7`60 Lam'' . c-c6t 't'yc 9 LR_l Z3S b'eo8
TELEPHONE #
OWNER j.U� .C. 4 ADDRESS > s • AL SQP� 0�
DATE 111.61F � PERMIT # O j USE /
mX 0 ;4'P.s _ Woyk consists of P a /A
GENERAL CONTRACTOR
MASON CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
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Front of lot
MAILING ADDRESS