HomeMy WebLinkAbout1993-Building CITY OF OSHKOSH N ° — 36854
PERMIT - APPLICATION AND RECORD
TYPE: BLDG "HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAINI�! HEIGHT'" -
ADDRESS / 7 70 ---4s) iL PLAN NO/P—/C / / P' .3
OWNER ' - S,� .. �...�' -1€1
DESIGNER `
USE /NATURE OF WORK/IA-GO c ? --4 ur !' 4f--
BUILDING CONTRACTOR eflCU.-"..!
Siz V/
Sq . Ft. 7S /�' Rooms � # 3 Height c �7' �
Foundation AlcA.AP Class of Const. 7 Occupancy Permit c
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
_Lay _ Sh — DW — DF — San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuatio 1 -� v y Pe it Fee P ' 6 .3a — / �� jar � aid $ � Park Dedication $
ISSUED BY _ ��A-4 4„Ar Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
7/.2
/ A GEN /OWNER D ATE
7 ,7 -
ADDRESS
TELEPHONE #
CATE /1 S 3
NAME ¢ c—�r e ' ADDRESS
BLOCK '.rAFiD l
, . ZONE
STREET NO. ./. -. LOT DIMENSIONS
SIDEWALK EXISTING YES E1 NO El
BUILDING GRADE ELEVATIONS STAKES SET AT SITE /,— 9 ,19 9'3 BY k
FEE; $15.00
DEPARTMENT OF PUBLIC WORKS K:
I, the undersigned, owner or agent of the above described property agree To have the
grade estaaiished before excavation has commenced.
001@72 4'1411