HomeMy WebLinkAbout0042444-Building CITY OF OSHKOSH P12 42444
PERMIT - APPLICATION AND RECORD
TYPE: BLDGTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - 3 (QS 4 1,3:2_s - mS Y'
/' E — PLAN NO.
OWNER l-- e_.4- ' 1_r- 0 -- L1) y
DESIGNER ! / ( x l0
USE /NATURE OF WORK r 4--C,11( d -tea L e A_/il. / h v-
! p e P— / 0--m cm VI." , •
f1A-Q.141--- c tad) r- Cu' -tea_ Ce-r " 4 INN. µ.ac.. - e--- d' r .t1A-si TZl`020-L 4
(9-0 IN_ Ofo X ?IP
BUILDING CONTRACTOR o(, t9C 04244 ill 1 --1 )--c i(r21
Size /1K I C Sq. Ft. # Rooms # Stories Height
Foundation 7j-''4. ,__A Class of Const. Occupancy Permit `'// d
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR ? ! N r '► K.P o C`- q WI., ertAt' e s
Electric Serv. New ❑ Change p Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 2
- BT _ WH _ Disp — WSoft — CBasin
_Lay _ Sh _ DW _ DF _San. Sewer
WC _ FDr _SP _Ur — Storm Sewer
- Sink LTub __Eject _ SS — Water
Other
FEES: Valuation % ��►_ "rmiti - / 1 aid $ �Z • � ::;1tb0n $ /1
1111111 /
In the performance of t ork I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE E,_,_ 46,,,t,i,c,f.,- ,0 / 9 y
AGENT/04 R ��
ADDRESS CR- Writ r4c.R 2-k '3M 40c yvtoS4&. 51`. .0 S I+ ICoSt -/ Z - M 2 35 q
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