HomeMy WebLinkAbout1994-Building 39421
CITY OF OSHKOSH N °—
PERMIT — APPLICATION AND RECORD
TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /78 Z. 7 of?. , i/F PLAN NO.
OWNER - O. f A' _._ r ti
DESIGNER �/' �/
USE /NATURE OF WORK ,t 4 / L /.. 5 � l' S4 7 /
'7> Q.,---k\e ■14947 r."2. S4 /�r1 /p ,4 o r re ileac ` a4U'
ec pzf ' 7 o.1' /o'
BUILDING CONTRACTOR Alf-f - '
Size ! 1 1 1 S - rS' Sq. Ft. # Rooms 1 - # Stories ( Height / Z
Foundation el ( s r . &r-'4d4' Class of Const. Occupancy Permit 4__'
* °_.- 404`-
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 '. / �_'•j0 Per i Fee Paid $ / 7e : arle : ication D $
ISSUED BY IP? _ 1 W j Date cZ_� .
ili In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
- - G, SIGNATURE alfril � � /
/ /, A ) y ) DATE
ADDRESS -OS �W 1 Uc 6 6�A ° /0 eS // 1-G'S //, ii./ 1 1- - -.0W1
TELEPHONE #
C �L DATE
NAME J o— c ' `� �- �b ey. ADDRESS
4 � L •
7 BLOCK WARD
> 34:1 6- . G of`aj ZONE
STREET NO. f78..) ite36eAI /fA. --tOT DIMENSIONS
SIDEWALK EXISTING YES 0 NO E}
BUILDING GRADE ELEVATIONS STAKES SET AT SITE // - 8 ,19 9. 9.3 BY X
FEE; $15.00
DEPARTMENT OF PUBLIC W .RKS
I, the undersigned, owner or agent of the above described property agree to have the
grade estaaiished before excavation has commenced.
09/1877 VC
/3