HomeMy WebLinkAbout1994-Building � s�o
CITY OF OSHKOSH N2 39420
PERMIT — APPLICATION AND RECORD
TYPE: BLDG1HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ( 7� t� ®D�pt /�Tt°L PLAN NO.
OWNER --SC -')4 tt Mkt' o ff'
DESIGNER
USE /NATURE OF WORK 3C-- a— / �>c l S i/
___zz Y ,/6C -rte/ eu.le `/'rte cot f'_e FA., .
o tepot ` ?ar/) ism v..7 clez ( /p r
BUILDING CONTRACTOR (Qc4 ,te r
Sizef! 1 �.SX� . Sq. Ft. / # Rooms r # Stories / Height r�
Foundation T r // itd nn u7/ /� x '� Class of Const. Occupancy Permit
Z p 4
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: Valuatio $ Q P- it Fee Paid $ � p 7. _ ^�
- ` Park Dedication $
ISSUED BY �/1— `' � r i % �/ ( ?, ' Date 1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �' ✓dlil/�y — AGENT/OWNER DATE
ADDRESS CO Aid / /4 IUPsf 1: o/' ,4'A/•C , / 1 413, `19D1 et e26 )ad TELEPHONE #
C.— .1e) J...3. CATS / /_ 3----- Y--?
NAME . g -ue
ADDRESS
6/1 BLOCK / 4.
,
Ge,�'� ` ZONE
STREET NO. Q t o Gi•v /41"-' LOT DIMENSIONS
SIDEWALK EXISTING YES [::] NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
I��' g , 19 43 BY /tc'!'J
FEE ;$15.00
W -------7'6A--zi 4-4---.---4 „—
DEPARTMENT OF PUBLIC 'WORKS
I, the undersigned, owner or agent of the above described property agree ro have the
grade established before excavation has commenced.
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001B76 416
7