HomeMy WebLinkAbout0029229-Building (driveway) CITY OF OSHKOSH
N2 29229
PERMIT - APPLICATION AND RECORD
TYPE: BLDG
X HTG ❑ ELEC ❑ PL BG ❑ SIGN ❑ ZO FLOOD PLAIN HEIGHT
ADDRESS Ell eo-w-e2_,i--- PLAN NO.
OWNER V LAN
DESIGNER
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USE /NATURE OF WORK___ Y _ // .5 S r — S �� ed , G�2�Lfi" `,
BUILDING CONTRACTOR .- --../1 e71-i-.
Size 1 Sq. Ft. # Rooms # Stories Height
Foundation .dn • _ Class of Const. ( Occupancy Permit/ZO
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
_Lax/ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEE .S ^ O O. OO .O o ::1:1ti0h1 $
Permit Fee Paid $ ,
In the perform ce of this work I agree to perform all work pursuant to rules governing the described construction.
SIG NATU•41 LA �/ (0 9z
AGENT /OWNER DATE
ADDRESS
TELEPHONE #