HomeMy WebLinkAbout0042786-Building a
CITY OF OSHKOSH N° 42786
PERMIT - APPLICATION AND RECORD
TYPE: BLDGHrG ❑ ELEC ❑ PLBG ❑ SI3N ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS q ?'0 etia,c, 4 PLAN NO.
---> , OWNER Z°'-' °-`"_ei a_ f ce ' —
DESIGNER / �.�-
USE/NATURE OF / WORK r}tki P" -wc �✓ / e / iC4 r7`7�t _�! r--pp Oil / �-
BUILDING CONTRACTOR /4c ( a r -- ,47 o f COX e r - 3
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR (Q �� / /.
Electric Serv. New ❑ Change ❑ Temp ]I Type Volts Amps
P
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR noil ► r . 1 ---
____ BT _ WH ._ Disp _ WSoft _ CBasin
_Lay _ Sh _ DW ____DF F _San. Sewer
- WC _ FDr _SP _ Ur _Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuatio• � � F : Paid $ '" :,atb0h1 $ 6/ 1 /ermi
,■-•• Date Mg'
4 1, O.P.
In the performance of this work I agree t• perform all work pursuant to rules governing the described construction.
/4
SIGNATURE (at
gea,_,t f Z-C F
AGENT /OWNER
DA
ADDRESS /k l t) C lit 0409 / 23 1 c V63
TELEPHONE #
OWNER ADDRESS L i a.) LJUAL)
DATE -' 4 PERMIT # 49194. USE a 3 - i
Wo consists of
GENERAL CONTRACTOR �F.MO� i
./1/ .h l w f,)1x)
MASON CONTRACTOR - ZONE
Width of lot DATE INSPECTIONS
= 10 REMARKS
‘*1°4 1 t
vv■cti 1 . 3
o o t N Cx- zie LESe"
v t o pre_z.pel_ `- t
? A K eg- CYDK
+' — }
0
�
c 1#J /! WMBr',, '!K—
X
a
W
a
MAILING ADDRESS
Front of lot