HomeMy WebLinkAbout0028182-Building (11p) ' CITY OF OSHKOSH N° 28182
— PERMIT APPLICATION AND RECORD
TYPE: BLDG ..HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING 3 FLOOD PLAIN HEIGHT 'UM
ADDRESS ii 0L_ Z a✓a.,cr�e) i►�} °L PLAN NO. k 33 c ` •
OWNER TKowv oC ` / "S e klw. -k v --cam/ /A4/441r'
DESIGNER
USE /NATURE OF WORK -. e /4
- et-I 6-4C' /E —/` X 3" / /-- i .4
h'- _1 - 4-,4 realm -_,/t,„. . / - - (P4 6
A r, CP t-e c .- o._ >•c.- I As? e■ , Vile .&? zr P11 a s-'-/ 49 C_ e- --c e
ranvAS
BUILDING CONTRACTOR 'C . r4. / � t t� r {'[� / � tb h
L -.1* t''Q Lcs cCe /� r, Height ��
Size x3 7 Sq. Ft.� # � #Stories
Foundation )L r isJ 14 "tag Class of Const. .-A Occupancy Permit _k
HEATING CONTRACTOR
t
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR Z
x
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ��4_w i' L e z° f— BT WH Dis WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuatio fr- 119 O +' e / rm 'e Paid $ P ark Dedication $ /�
ISSUED BY A • — d_A -46. � �`a 7 Date '� - Final /O.P. 3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ∎' / $' DATE M
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ADDRESS ` �r . 31 �j3
TELEPHONE #