HomeMy WebLinkAbout0030033-Building (addn to #28402) CITY OF OSHKOSH N° 30033
PERMIT - APPLICATION AND RECORD
TYPE: BLD4 HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING /C ' FLOOD PLAIN HEIGHT
ADDRESS 9 /O 29ifA PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK 4.....1 _i e ZS 0 ,/ . . 2 , '
X
/'
2
BUILDING CONTRACTOR (461.41 -z-t
Size / k.-2.-- Z Sq. Ft. # Rooms "7` # Stories 2.--- Height
Foundation ed>f ‘ Class of Const. 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
FEES: Valuation $ 24 a Permit Fee Paid $ l�o Park Dedication $
ISSUED BY Date cf/679 v Final /O.P. 3 9 93
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #