HomeMy WebLinkAbout0034715-Building (roof) NI Oki
CITY OF OSHKOSH N2 34715
PERMIT - APPLICATION AND RECORD
TYPE: BLDG' HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 126 ?w ev PLAN NO
OWNER t/OQ
DESIGNER n
USE /NATURE OF WORK S TE 0 F-P Pt L.fi cc pm P
BUILDING CONTRACTOR A S P P( A) 6--
Size (VO Sq. Ft. # Rooms # Stories I Height
Foundation Class of Const. O Occupancy Permit
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
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FEES: Valuati" . 4110 ± ' 25 .-111 r it Fee Paid $ Park Dedication $
ISSUED BY 11 111. .. .. • l A ' LAS:LA Date —7—N a` -- 9^-1 Final/O.P.
Ir
In the performance of this work 1 . ree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ -7 y ,/lam d?
AGENT /OWNER I ATE
ADDRESS e. /4/ .44 /y_ 778
/ TELEPHONE # 3