HomeMy WebLinkAbout0010665-Building CITY OF OSHKOSH No 10665
PERMIT — APPLICATION AND RECORD
TYPE: BLDG'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7_7 / (or<_ 4- c' 14 i ti` P(u C e PLAN NO.
OWNER /4 I- r l ( c , rr '‘ PIA- tt_ G1,-
DESIGNER
USE /NATURE OF WORK _ [` W _� e 1` `a r I e0, 0 %' ( . .c _r {s a < ;( <_
BUILDING CONTRACTOR /_t /'r '/(A . S{ ct c _ P f
Size ri )( - w Ft. # Rooms # Stories Height
Foundation Class of Const. 6 Occupancy Permit 4
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR v c k
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 0 41! a' !f'•'
- 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 _ - r....1 0r'
rmit laid • dark Dedication $
ISSUED BY AP.- .1 1 ‘ /. Date " 9 - e --- Final /O.P.
A
In the performance of this work I agree to • -, . rm all work pursuant to rules governing the described construction.
SIGNATURE r acoui 0/5/9 7,41-
4'-
AGENT/OWNER ATE
ADDRESS l 7.S^ m dTYc (c ,P_/_ .. s f Hn "It
TELEPHONE #