HomeMy WebLinkAbout0028426-Building (window) CITY OF OSHKOSH N2 28426
PERMIT — APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /0 0 >7 /C-T • PLAN NO.
OWNER 44 (.._� �/&/L
DESIGNER
USE /NATURE OF WORK "M/ )'7 t -u) z -2 � G( i�� 2 r n
BUILDING CONTRACTOR c a3.E�Gt_rJ`
Size C Sq. Ft. # Rooms -7 # Stories / Height ,,/
Foundation ries
Class of Const. �"' Occupancy Permit /v0
HEATING CONTRACTOR
Heat ❑ A/C ❑ 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 7VF X(
Permit Fee Paid $ / so' 0 `7 Park Dedication $
ISSUED BY 1""%�,� ,4, -,--- Date /(p /e' Z
/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
iTh
SIGNATURE '�,�- r� r e rkJ G<, _A A , ? /
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #