HomeMy WebLinkAbout0007562-Building CITY OF OSHKOSH N2 07562
P ERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING Z \ FLOOD PLAIN L.
GHT
ADDRESS ( 1 [ Z Po e.,9 e v---.s ,Sf
'�' PLAN NO.
OWNER `► t Pun lJe r- /gyp y--
DESIGNER
USE /NATURE OF WORK N r€ pt4 C 77 cx rem Cr /' 7,
BUILDING CONTRACTOR 4Vitt` V S p t1
Sizp X 7 Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. CJ Occupancy Permit .2
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR Air ' 4 . 1_ k L °
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR / ,e /
- BT _ WH Dfsp WSoft
CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP _ Ur Storm Sewer
- Sink _ LTub Eject SS
—Water
Other
FEES: Valuatio $ G !'� 0 1 'it Fee Paid $ /�r ram`
f' Park Dedication $
ISSUED BY ./ ,, �!� e ,��� Date ' ` -� � �
Final /O. P.
In the performance of this work I ag - o perform all work pursuant to rules governing the described construction.
SIGNATURE / _000/.°T?./- / / AGENT /OWNER ���
DATE
ADDRESS 7;46-17 -----7— {Ue"G'
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