HomeMy WebLinkAbout0046319-Building ! q'
CITY OF OSHKOSH
N9 46319
PERMIT — APPLICATION AND RECORD
TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 1S -- / / u
,.. (O - PLAN NO.
OWNER PA f sr ia, v . C j
DESIGNER
USE/NATURE OF WORK �` F-� Lpt....._00
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BUILDING CONTRACTOR * k,. i 9 r f. 6v••s,l r-S
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit .a
HEATING CONTRACTOR'
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR -SW&
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 66 f
- BT — WH — Disp — WSoft — CBasin
_Lay — S — DW — DF _____ San. Sewer
— WC — FDr — SP _Ur _Storm Sewer
— Sink — LTub — Eject _SS _Water
Other
FEES: Valuation . MO' ^`
``,, r / ermit -id $� Park Dedication $
ISSUED BY .4 IT i i.�. A _ Ar/ Date 7 l0 -1 - Final /O.P.
7
In the performance M*- work I agree to pe orm all work pursuant to rules governing the described construction.
SIGNATURE �.�� -�/ -- ��� ( j�
AGENT /OWN /// DATE �✓ s�
ADDRESS / �,� 1%I -. .� ° j L!i f/ L�J /.
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