HomeMy WebLinkAbout0006406-Building (canopy)
CtJ
CITY OF OSHKOSH
PERMIT- APPLICATION AND RECORD
N2
06406
~~P_E~ - _~L~~ -~ _~T~_C?- ~~E~_C?- ~~B~_C? - ~1~~_N~N~_e- _F~~~D_~~I~~- ~~I~~~~-
ADDRESS &0 ~ c-. k ;5.<> ~
OWNER þ--',~ k h '-p,.. l' '" -+-
PLAN NO.
DESIGNER
USE/NATURE OF WORK
/'x / Ie S 'e.e ( I,A f'
BUILDING ~CTOR P ~ r (e ~
Size Sq. 1t. r /
F~undation J-.. '" ~ &. a r"'" .:s
"
"?>
.
~nt;" \"0 e.¡
# Rooms
# Stories
~
Height .-¡
Occupancy Permit I< -e r
Ciass of Canst.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuei/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR -
---
Electric Servo
New D Change D Temp D
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ~
_BT
_WH
_Sh
_Disp
_DW
_WSoft
- CBasin
- San. Sewer
_Lav
_DF
_WC
_FDr
_SP
_Ur
_Storm Sewer
_Sink
Other
_LTub
_Eject
-SS
_Water
ISSUED BY
Fee Paid $ ~ be>
Datel¿~-I- §'->
Park Dedication $
Finai/O.P.
In the performance of this work I agree t perform ali work pursuant to ruies governing the described construction.
SIGNATURE
~~ ~d~t
<. () '" L...J . .,2 0 ~.l,
\"2..-\-\,
DATE
ADDRESS
;)."3-,I-'\.2'-\()
TELEPHONE #