HomeMy WebLinkAbout044112 - Building (roof) /YZ
CITY OF OSHKOSH
N2 44112
PERMIT - APPLICATION AND RECORD
TYPE: BLDG* HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS r?a1 > " V ETA/UIU PLAN NO.
OWNER ,tjI ELq 5! tp`
DESIGNER l �p
} /NATURE OF WORK SW AoiDC4p t1c J /�J�ie c FT
(iEsi'�� 7 " -" E - t e„,,E. ' J� LAC C C, rte- F:/- s-c(<
4.Pb 'z A P (k) a .
BUILDING CONTRACTOR em r
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. g Occupancy Permit
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 1tlf4wr ` Permit Fee Paid $ 4-/ --r Park Dedication $
ii P ISSUED BY �� WIDI..1 Date 3//6/ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , / / / 3//‘/95
-Sii, .---,-
AGE • r.ER DATE
1"
ADDRESS
It / 2 9 s „ ALJ1°. /V o, ei 2351-41/ I/
TELEPHONE#