HomeMy WebLinkAbout1993-Building CITY OF OSHKOSH N° 36855
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONINGkIPv FLOOD PLAIN HEIGHT#
ADDRESS /70 0 ® /° PLAN NO42`lam
OWNER Sae..4. JZ.
DESIGNER
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USE /NATURE OF WORK % /ea, .) 'y ,.t y�T
BUILDING CONTRACTOR ®r /
Siz Sq. Ft. – Ro s 2- # Stories 3 Height '"(J
Foundation Class of Const. 419 7 Occupancy Permee
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.. . 0.9 ce — Pe Fee Paid $ Park Dedication $
ISSUED BY driARiP7J>,l�L/. Date /l a P _.3 Final /O.P.
In the performance of this work I agree t. perform all work pursuant to rules governing the described construction.
SIGNATURE
A ENT/OWNER DATE
ADDRESS
TELEPHONE #
CATE — S 9_5
NAME ADDRESS
HOC . 3 a LOCK WARD
ZONE
STREET NO. / 78 0 41 14 N Alit-- LOT DIMENSIONS
SIDEWALK EXISTING YES E::] NO a
BUILDING GRADE ELEVATIONS STAKES SET AT SITE // - S ,191BY KN
FEE; $15.00
DEPARTMENT OF PUBLIC 'WCRKS
I, the undersigned, owner or agent of the above described property agree to have the
grace established before excavation has commenced.
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OW 873 41q