HomeMy WebLinkAbout005555 - Building (enclose porch) CITY OF OSHKOSH N2 05555
`► PERMIT — APPLICATION AND RECORD
TYPE: BLDG-,10 HTG ❑ ELEC ❑ PLBG 11] SIGN ❑ ZONING FLOOD PLAIN HEIGHT/r 4'
ADDRESS ( / a- 4,I _ /c.1,---1'1.cn frL PLAN NO.
OWNER— C lit. £4 r C_ B, 1 eP r--
DESIGNER / •
USE/NATURE OF WORK a' A c I t t' ., r ,
BUILDING CONTRACTOR p EA, 0.- N r--
Size-• r ? Sq. Ft. -�--T— # Rooms ( # Stories ( Height E c r‘
r
Foundation ex ,4- P,,,, ,,-- . Class of Const. e) Occupancy Permit 'et
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
r C�c.% Park Dedication $
FEES: Valuation � ) Per'/ ee Paid $_ C� ^-�
ISSUED BY 4/ f, , • �+ 1 ✓ Date 7 - " 0 / Final/O.P. / `I•� •
In the performance of this work I agree to�erform all work pursuant to rules governing the described construction.
SIGNATURE `4 �� �T r/r C�J
r ) _,,, `:'-ter-S'7
AGENT/OWNER DATE
ADDRESS i
// / /( , if,Z.i47.29't2 )(a'76-.71005
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