HomeMy WebLinkAbout0024579-Building (basement wall) CITY OF OSHKOSH N9 24579
PERMIT - APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7' /3 7d- 77A-d -F. PLAN NO.
OWNER Z t<d 1� 1'`A41- .4-
DESIGNER
USE /NATURE OF WORK G{f-ata 7"
BUILDING CONTRACTOR %• ) :& C d •1 °
Size Sq. Ft. # Rooms # Stories / Height
Foundation es
Class of Const. �f " Occupancy Permit "9
HEATING CONTRACTOR
Heat ❑ NC ❑ 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 $'d "0 Permit **���� ✓
� 0
ermit Fee Paid $ / v Park Dedication $
ISSUED BY 7i /...6e. /A. � Date 7/)°/6 I Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU" - i , J �1J r'
AGENT /OWNER DATE
ADDRESS
TELEPHONE #