HomeMy WebLinkAbout0045852-Building (fence) CITY OF OSHKOSH
N9 45852
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 O3. / 0 os.. 1 C PLAN NO.
OWNER bGZ� c ... vv a l( cc. c p
DESIGNER /
USE/NATURE OF WORK Sr"1 ,t, - � �"�O')C• / e / 0 . '0 f d 1 A. r C� � 4 ?Pc /'t...„
itio re /& 54 R.L. & 1 .t 4 f •i /S 1 ii,.. A •� O ot. l r ¥) t-- o rc. I °CPrc t
ApL� .1l.
/ e ver`
BUILDING CONTRACTOR tow Pt t r
Size 0 r q. Ft. # Rooms # Stories Height .4 e /'
Foundation ,>% F Class of Const. Occupancy Permit /114.
HEATING CONTRACTOR �—
Heat ❑ NC ❑ 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
1
FEES: Valuatio $ �� +_'= / - ermj _ Paid $ :: _ _ 4.,r .. .P.
414, /
In t he performance of work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 5(1_1 t $ __ 7 S 9.�
� �
AGENT/OWNER . T �WNER
DATE
ADDRESS ?0 3 in 0 ri roe ,S a3 i S 96
TELEPHONE #
PROPOSAL /CONTRACT N° 1 0 815
/` DATE
IMIICONZ Appleton • 734 -6676 Oshkosh • 231 -5545
"The Quality Fence People" Green Bay • 432 -1883 Manitowoc • 684 -1779
Fond Du Lac • 923 -4334 Sheboygan • 452 -7334
616 N. Perkins St., P.O. Box 1717, Appleton, WI 54913 1 -800- 310-0600 FAX 414 -734 -4811
NAME \ - , e
bAu s WALL.ACTL PHONE
(C FAx
ADDRESS r OVY,10 L S -r C
STYLE �a l ti HEIGHT /
V)
CITY, STATE, ZIP CODE ( SPECIES GRADE
OS \Esh "1 ST10I GALI/ AN 1 ) i 34
JOB LOCATION ARCHITECT DELIVERY
TOTAL FOOTAGE: I _ r LAYOUT YnoN "Z- "
SPECIFICATIONS: l
D A x 1V 1S ie-Z,3 1:o) S t C3 L. FO Q
"Tv- OC T) o rJ of - F1-.1 P1
YENC -.g ANC Lktt_Pwc- C "
1FE.R.vsn t'S
0 t•1 t
��),(\ � W 1\ Cp ( 1 A z V 4' qx.
.6 : : 1 Sig'` '� �
(")
MATERIALS : I>nr. t.�ae.
Ir
TAX :
INSTALLATION : it
TOTAL : tl 12.. l °2
\i ` 64 25% DOWNPAYMENT REQUIRED
\,, \ \
BALANCE DUE 10 DAYS COMPLETION
hank ❑ NET 20 DAYS COMPLETION
SALESMA ; / r I OTHER CONDITIONS : A. Price Good For 30 Days
*reptant of Proposal - I have rea t and agree to the terms, conditions and specifications set forth on both sides of this contract. Please sign, date and
return the white copy to our office with your downpayment if required.
Accepted By : Date:
WHITE - ACCEPTANCE COPY YELLOW - CUSTOMER COPY PINK - OFFICE COPY