HomeMy WebLinkAbout0028551-Building CITY OF OSHKOSH N9 28551
PERMIT — APPLICATION AND RECORD
TYPE: BLDG "HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONINGC, Z- FLOOD PLAIN HEIGHT
ADDRESS / CO . 1.<.,O r !/p 1- ‘cP PLAN NO. i " -I
OWNER$
DESIGNER
USE /NATURE OF WORK cc_ed- - t 7�1r -
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0142vv zCvO-e c . e €)t a A,_ Ct2.4.4 ''+P deb Amin U PO" - P - Pxr`xr .
-/ c. P K f r �V- [' to to , / leotfi Ale skip.( e.--� ( - .s' r C) e2a.. , I/Vetk$ i; 3L o- "
BUILDING NTRACTOR £ 7j / r ; 5 �� o kt 1.t s d` c>t s1
Size J q. Ft. # Rooms # Stories / Height
Foundation S Class of Const. 6 Occupancy Permit
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 $ #1 0.>C9 °O /
i ' rm F ee Paid $ 2. O Park Dedication $ r "�' —
ISSUED BY (ifi_ . ,�! Date l.. Q?
411
/ � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE a_.. .....,..�, C , 4c4L /S STaNe.) 034/? AGENT /OWNER D
ADDRESS'? .60 z 3 G S? //y l 4.11-7 j Ys'- 5
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