HomeMy WebLinkAbout028561 - Building (Rear Building) CITY OF OSHKOSH N°_ 26561
PERMIT - APPLICATION AND RECORD
TYPE: BLDG Kr HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS I L (c >7/f Z��E, // ��.7` PLAN NO.
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DESIGNER y
r-JW(1 2 )(1-Z- /( 'c et i j'( /5-"17/U
USE/NATURE OF WORK ,
BUILDING CONTRACTOR--.:'/'ee t',` 1/4-C"6. I
Size /-2 Y/2- Sq. Ft./ LI r_I # Rooms ( # Stories / Height /I?
Foundation LI (e)-, t . Class of Const. I Occupancy Permit 4-:',<,
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 $ / 0 C 0 `(9 c' Permit Fee Paid $ /0 0 ` Park Dedication $
ISSUED BY `/,).c-- '�" !c,, ,4., <<- — Date >/i Lib 1-- Final/O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE )'/,I1u. 717L'"
AGENT/OWNER DATE
ADDRESS TELEPHONE#