HomeMy WebLinkAbout0027074-Building (foundation wall & roof) CITY OF OSHKOSH N2 27074
PERMIT — APPLICATION AND RECORD
TYPE: BLDG A? HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / k - e' PLAN NO.
OWNER t ...4 •t!
DESIGNER
USE /NATURE OF WORK / ) /R LL...6014 -e e a �°s'4 afrOl ivxslf�lT A �� •
.Q74 00 - eArc 6fi.C`Q,e.(A-4- dL ea ueDC./, cy...e Z i tju 4tize 6, "Al��l e•tj
v t.0 au /
BUILDING CONTRACTOR * MIA/
Size Sq. Ft. # Rooms # Stories Height �J
Foundation • Class of Const. O Occupancy Permit
HEATING CONTRACTOR 7
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 7
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 s� $ 0A000' vo Permit Fee Paid $ �S O N Park Dedication $
ISSUED BY����7- Date // Z .-- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �, tt ■air
/30 / ?a
AGENT /OWNER DATE
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ADDRESS 2 . . // 1! -/ ./ e 4 - 2 37 7/ e 1'
TELEPHONE #