HomeMy WebLinkAbout028103 - Building (new windows) CITY OF OSHKOSH N°_ 28103
PERMIT - APPLICATION AND RECORD
TYPE: BLDG"( HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /--S-0 3 577)4 lli e-77- PLAN NO.
OWNER_ C /1/4-7/2-6--
DESIGNER
USE/NATURE OF WORK j*- 3---21-e€4l P.G'-L/t't Ll!�1�G�C-mil d- /d'"--
BUILDING CONTRACTOR OLe7f.��.�
Size Sq. Ft. # Rooms # Stories 1.' Height ,A��/
Foundation /5 t c4 Class of Const. Occupancy Permit/1�
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent El 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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
/
FEES: Valuation 6ae:2 ° 0 0 Permit Fee Paid $ /0,C) v Park Dedication $
ISSUED BY 9a'-- JS),C.Z ,0"207' Date c 704
?/ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r//fly Y
GENT
-OWNER DATE
ADDRESS
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