HomeMy WebLinkAbout029824 - Building (patio/door) (4) CITY OF OSHKOSH N2 29824
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �c.-.., 3 )-77-7 / t 72,-/-,--, PLAN NO.
OWNER 1V' -' a . A'C'A-14 Li--L6L-1-
•
DESIGNER _- /
USE/NATURE OF WORK IM.
p= --(4`,/t-e-t°L'c G'C cO A,t '('4' ``': Lt' ref"
BUILDING CONTRACTOR L°Ct')" I
Size --'�� Sq. Ft. # Rooms # Stories 1 Height
Foundation% Class of Const. e Occupancy Permit -/A-4.
(.1
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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 4/20 6 • c) a Permit Fee Paid $ r - `' ‘' Park Dedication $
ISSUED BY Date 7/2 7 Al v Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
,,/,' ,--/2 ./2;-2.-- L.---
SIGNATURE •
AGENTOWN ' DATE
ADDRESS
TELEPHONE#