HomeMy WebLinkAbout0009156-Building CITY OF OSHKOSH No 09156
PERMIT - APPLICATION AND RECORD
TYPE: BLDHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2— S sk) , / 7 I t_ PLAN NO.
OWNER la r 14 " 1 - R H /Df' , ( .204. C- /- ----
DESIGNER
U E /NATURE OF WORK
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BUILDING CONTRACTOR/ at H..e. r
i 17
Size Sq. Ft. # Rooms # Stories (/ Height
Foundation -1''o (i(.0 Class of Const. Occupancy Permit 1 0
HEATING CONTRACTOR .-----"'
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss
BTU'S
ELECTRIC CONTRACTOR 0 ) la ro kj-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 00- Pvt Cr"
- BT WH Disp WSoft
CBasin
__Lay _ Sh DW DF San. Sewer
__WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS
Water
Other
O
FEES: Valuation $ v y O -- "_ -
, / •' Fee Paid $ °�'
/�/ , 17I/11.j� �� /, – / � Park Dedication $ r --_-.
ISSUED BY a. . Date 6 - g F3 Final /O.P.
In the performance of this work I agr-'- to perform all work pursuant to rules governing the described construction.
SIGNATU I ' 1 A AS , w rrl . _ I - ` `' iY . '
AGENT /OWNER ii r'
n
� DATE
ADDRESS c7L 17 P' X31- / y 7 '6 , 8*
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