HomeMy WebLinkAbout0029709-Building (soffit & trim) CITY OF OSHKOSH N2 29709
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SI ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 3 0 !7 / 7 PLAN NO.
OWNER ,aetheao
DESIGNER �/J
USE /NATURE OF WORK ,9 � /7&A e O te.fif • ,Q- f
BUILDING C NTRACTOR /.7 h (^
Size Sq. Ft. # Rooms # Stories ( / Height
Foundation 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
i
FEES: Valuation $ 40-01 �i Permit Fee Paid $ / S 'v Park Dedication $
ISSUED BY 7�h .441^'-- Date 7//(( Z _ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ i . _ - — —��—. 2 -- Kc /
AGENT /OWNER DATE
ADDRESS
TELEPHONE #