HomeMy WebLinkAbout0026887-Building (sign) CITY OF OSHKOSH N° 26887
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGNZONING FLOOD PLAIN HEIGHT
ADDRESS z 7 Ai ..\ k r_.,s m PLAN NO.
OWNER otl`-e (Z 4. 4 `i
DESIGNER
USE /NATURE OF WORK /4149 4 f /�- (C /�- t c-- ; cv r `7 / 54 l L / Yiu ,
R , ( SFA V r"._ Ac L rek
BUILDING CONTRACTOR 'J ). Lt-'e- r----
Size ,,,J Sq.. Ft. # Rooms # Stories Height
Foundation Z �" re_ n. e c_ a / Class of Const. Occupancy Permit .6
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 '. A d r r- -- J rmi F • e Paid $ /C) Park Dedication $
ISSUED BY AL—
likhl /
47 . ,..... r-r Date J 6 "''2-, Final /O.P.
In the performance of work I agree to perform all w ursuant to rules governing the described construction.
SIGN \�
AGENT WNER V
DATE
ADDRESS c001 /L? ,.. e s.oik S7 OSltko3h
yai <'0 51
TELEPHONE #
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