HomeMy WebLinkAbout0012576-Building (basement remodel) CITY OF OSHKOSH N° 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG1HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � 4 8 -..2 4 /WO °je-/ 4 (' r'- ` 0 PLAN NO.
OWNER Pc ,..P C._( ct S
DESIGNER
USE /NATURE OF WOR � � r , �Q c‘ (' � 6t L?'F
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BUILDING CONTRACTOR &CU GL e /—
Siz Sq. Ft. 6'O C'2 # Rooms ( # Stories Height
Foundation KC _ Class of Const. A Occupancy Permit "142
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR Cv !4.4-1
Electric Serv. New ❑ Change ❑ Te p ❑ 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: Valuatio • '. ' m earl' i r Paid $ Q 42° i'Y Park Dedication $
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ISSUED BY d 1 War. i Date — 3 " ` e i Final /O.P.
In the performance of this work I agree to pe orm all work pursuant to rules governing the described construction.
SIGNATURE \ ∎ ►''J_L' _ _
A ENT /OWNER DATE
ADDRESS
TELEPHONE #