HomeMy WebLinkAbout013183 - Building (songle family w/ ramp) CITY OF OSHKOSH No 13183
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN 2 HEIGHT
ADDRESS . , A1(04/ Lie V-s-c0 t-'� PLAN NO.
OWNER Are irk Ice c--. tr2 '"\
DESIGNER
USE/NATURE OF WORK>c`����i �'�T cvc i i 7 / k o' ` '`
rC‘4. 0... / -7" ''' I (0-G-A--4P1/:(c-c____
BUILDING CONTRACTOR « Ft� 6'-is?�C-'tLCctK3
Size 2-1/0c Sq. Ft. # Rooms # Stories Height
4 9
}- Y'
Foundation �� Class of Const. � Occupancy Permits` ''�
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 L
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 $_7'0'- °f 1 Per,1 I/,.e Paid $ /U- ��— Park Dedication $ c`"
ISSUED BY I ���% ! .t/` /� Date - - 87' Final/O.P.
In the performance of this work I agree . •-rform all work pursuant to rules governing the described construction.
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SIGNATURE .M��9<�I► �i /�� 51�,.*,_ `�, 1 0 F
7/ !/ AGENT/O NER 1 DATE
ADDRESS Rex_ rX 7 Y�/ 2utc //
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