HomeMy WebLinkAbout0047689-Building (patio door) `�l l
CITY OF OSHKOSH N ° - 47689
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS o( Mor( -'v+v. PLAN NO.
OWNER G '( t -2-
DESIGNER
USE /NATURE OF WORK ' & / t1 Sk't 11 /-7
•
J f 5 f) 4*..(/\ f vk \noQ
v
BUILDING CONTRACTOR C3 1(l Q
Size Sq. Ft. # Rooms # Stories ( Height
Foundation Class of Const. Occupancy Permit "----
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp 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
c,
FEES: Valuation $ l a 0(.7 Permit Fee Paid $ � � Park Dedication $
ISSUED BY_Ze? Date / C � — ) �� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r__ _ �#L_ .40 _ 11J rte/
NN�� /
ENT/OWNER DATE
ADDRESS �"� i 4009 5 3K
TELEPHONE #