HomeMy WebLinkAbout0025439-Building (fence) ® . CITY OF OSHKOSH N° 25439
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7-70 19"!B - t ��x./
/� - e/ PLAN NO.
OWNER ex�, LC'LZI1
DESIGNER r
USE /NATURE OF WORK /4 _, - / d i — 6 ' w
i
BUILDING CONTRACTOR 100,e
T
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 ❑ 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 $ 7 S ° o Permit Fee Paid $ # /9r 011 Y
Park Dedication $
ISSUED BY ;;.t:t A.L.6.4i-i--)--- Date 2 /LOn7/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 9
AGENT /OWNER DATE
ADDRESS
TELEPHONE #