HomeMy WebLinkAbout0025570-Building (misc. exterior) CITY OF OSHKOSH N° 25570
PERMIT APPLICATION AND RECORD
TYPE: BLDG i HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2- 0 z S b'te../frt/n..141.4 PLAN NO.
OWNER , 4.4J. 7 t j X
DESIGNER a
USE /NATURE OF WORK,{ /* /Z 5e/2- P`( 1- to.- ti1 2olor-etJ'
,ot'.a d40-0A_ 7.,2.A. ye..- z a.t.1141-7
/114-1144/4 i pa.o dirk L --2 K -
BUILDING CONTRACTOR Q "JytL-. / /
Size / L X( 2 - Sq. Ft. / C cf # Rooms f # Stories / /� Height
Foundation Class of Const. p 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
X000 • °c7
FEES: Valuation $ � 00 Permit Fee Paid $ /J Park Dedication $
ISSUED BY I�u.C/.Gs/--4--6-- Date / Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .41 ..td
/ /�
- 0/4") AGENT / NER DATE
ADDRESS
TELEPHONE #