HomeMy WebLinkAbout0012887-Building (foundation wall) CITY OF OSHKOSH N2 12887
`' PERMIT — APPLICATION AND RECORD
TYPE: BLDG1TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 Z3 / c pt C e_ - PLAN NO.
OWNER _ 1 r_ 6 „N
DESIGNER
USE /NATURE OF WORK_ + c• r 1 `� 04 i ! ` /? r ? r^- /v r- � d- e�et (
BUILDING CONTRACTOR ALE/Pc a '=i S
Size Sq. Ft. ! # Rooms # Stories Height
Foundation g r( ��/ t U c.- I� Class of Const. Occupancy Permit x-42
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 s _
BT WH Disp oft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ �� Permite� aid $ /---.5 Park Dedication $
ISSUED BY hel . .r.:.. A . ...v.....:" // Date 7 - ! S -- e 7 Final /O.P.
In the performance of this work I agree to • . orm all work pursuant to rules governing the described construction.
SIGNATURE i' �C� oyC1 4 �� .. �! "'�� Vi / / / � / g /g?
AGENT /OWNER / DATE
ADDRESS 2 2-'2- a'fi/ /TF '470 C e195 lit-- .2.-33— e f Z gC.
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