HomeMy WebLinkAbout0029627-Building (raze house & garage) CITY OF OSHKOSH N2 29627
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / Z / y »-7 7'7A 4- -e PLAN NO.
OWNER (-P, 4,,.671--
DESIGNER
USE /NATURE OF WORK ___ if ,7-e, / I, -c- - ,,6- --° G / GL/
BUILDING CONTRACTOR 0 (X -e--1
Size �`)-- Sq. Ft. # Rooms # Stories Z Height ,,/
Foundation Class of Const. 8 Occupancy Permit _WO
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
Lay _ Sh _ DW _ DF — San. Sewer
— WC _ FDr __SP Ur _ Storm Sewer
__Sink _ LTub Eject — SS _ Water
Other
FEES: Valuation $ C) — Permit Fee Paid . rJ c�
$ Park Dedication $
ISSUED BY " - - A Di , !->x_ D ate 7/0 z-- Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE `
1C - k u.9, 7- 9_qa
AGENT /OWNER DATE
ADDRESS
TELEPHONE #