HomeMy WebLinkAbout0000364-Building (windows) CITY OF OSHKOSH N2 00364
PERMIT - APPLICATION AND RECORD
TYPE: BLDG, HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN ,CSC >p` HEIGHT -Ai ADDRESS / C.( 47 H PPeso'1`4- PLAN NO.
OWNER /206-r /GL/ G A ili 4 -
DESIGNER
USE /NATURE OF WORK c 5/1-- ) 46 LE -f .i i Cry 5/ 7) ) GC, hZJ
BUILDING CONTRACTOR LICH
Size Sq. Ft. # Rooms # Stories / Height -_ G
Foundation Class of Const. I64W id- Occupancy Permit
HEATING CONTRACTOR il17d'U
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 Pait
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
k/
FEES: Valuation $ , nO 21 Permit Fee Paid $ /.57.- Park Dedication $ r� "Y74-- ISSUED I3 P11 -t,G cC�ec— Date 7 -..g '- d J. Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR -- /6� orti �-- 7i37,t
AGENT /OWNER DATE
ADDRESS / 9 '7 7 j AG- J2yLC.D,G► X4 072/- e 0 1 7
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