HomeMy WebLinkAbout0028184-Building (fence) CITY OF OSHKOSH N°_ 28184
RMIT - APPLICATION AND RECORD
TYPE: BLDG Ar HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING R FLOOD PLAIN HEIGHT
ADDRESS tP 3 S 6-€ PLAN NO.
OWNER v a..-+'� i Le
DESIGNER ��// _ _` /
USE /NATURE OF WORK "9/'— 1 30 r 6 f (ATa'r1 cr—
BUILDING CONTRACTOR f <-*(
Size (30 / 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
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 $ 0 1 O •0 0
Permit Fee Paid $ Park Dedication $
ISSUED BY � fJ2...i_— Date VAL -7,Z- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /cz -,-./ tjek.„..t 4'-- 2 2 _ 9 z
AGENT /OWNER DATE
ADDRESS
TELEPHONE #