HomeMy WebLinkAbout0022271-Building (temporary) CITY OF OSHKOSH N° 22271
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC( PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
r
ADDRESS` = �t /
,p —.--e_:-
-' PLAN NO.
OWNER (,.G--yiii-r-G1 5 -_ Wo
DESIGNER
USE /NATURE OF WORK '--- 1.72
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 0 J4' P
Electric Serv. New ❑ hange ❑ Temp" Typea3AZ Volts Amp / 9 //
Fixtures Switches Receptacles Circuits / � r
PLUMBING CONTRACTOR
- BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
'_ t
FEES: Valuati.n $ ®�� Permit Fee Paid $ �� [e ms Park Dedication $
i q
ISSUED BY 4, i.� �/ Date /` - 7/ F /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE " t 1 ' 1
/ AGENT /OWNER DATE
ADDRESS 7 /7 4 - Ii / 1 w 1 �-d 733 `- /S /
TELEPHONE #
PERMIT NO. 7 APPL . DATE / ^ - 9" 9/
ELEC. CONTR. 2uc../40
OWNER C/hQiyn tL , j -
ADDRESS 9/0 - 1/
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP . G�_
• C. TYPE _' V . VOLTS 7 Zv AMPS / 4 C'
FIX'S SW'S RECEPT'S OC CIRC'S AZ
APPLIANCES V
SIGNS
INSP. ROUGHIN SERVICE G'� - I -a `/ - I/ FINAL ` 'Z I/
EST. COST 5'Od.i'" PERMIT FEE 20 a DATE PD./ -2 /
REMARKS