HomeMy WebLinkAbout0013657-Building (misc. interior) CITY OF OSHKOSH N°_ 13657
PERMIT - APPLICATION AND RECORD
TYPE: BLDajZI HTG ❑ ELEC 111 PLBG ❑ SIGN 111 ZONING 4 / FLOOD PLAIN HEIGHT N (i''r'
ADDRESS 9/? ,6X-<//f..ei" PLAN NO.
OWNER (JDs& ,4 4,i/l ..
DESIGNER
USE /NATU WORK IA/GLK (.�'yt c L //Z % iJ4A6CX- ! 7C6fI z-l/ 01.46t4ta
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BUILDING CONTRACTOR '/</2--> /
Size "7
( Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. $ Occupancy Permit /0 r/rt49
HEATING CONTRACTOR /_ a ''
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR / ■C (4v C.'Kf
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: Valu on $ �2 °O Permit Fee Paid $ ca 0 ✓ Park Dedication $ A/1
ISSUED B Date 6 —6 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE G.-. 4 `- l�Q.,,.�. 6707
AGENT /OWNER
ADDRESS 1 5 /' /7 y�t.Je/5 S I e2135 e2135
TELEPHONE #