HomeMy WebLinkAbout06284 - Building (single family) CITY OF OSHKOSH N2 06284
(42), PERMIT — APPLICATION AND RECORD
TYPE: BLDG 0 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ''
ADDRESS 2 l% , /1-M Vro F'-t'L Ci t4 Z04- PLAN NO.
OWNER— / fer— f" �c,,,k
DESIGNER
USE/NATURE OF WORK t' r Qleil r //‘
(_. ii. .5 v _ ,.Q K•
e'r ct / i e z t- a -l_ Z.6 "X-/lam' - A 6°[e .,
I c'l e r---ex-2 r
BUILDINGCO^NTRACTOR e' 'S`r ei r 7/ �--�mot. /—c,4 ely
Size GFS7jC' ?_. Sq. Ft. # Rooms # Stories / Height /*/
Foundation Class of Const. 0 Occupancy Permit /Z 1rt
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR v v 8'-°l_
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
.• i f
FEES: Valuation ,� . �7 rmi/Paid $ / 7 y Park Dedication $
ISSUED BY -I%' .�// .< < , Jri� Date [ ( V7( - / Final/O.P. /2 "/Si-_g7
/
In the performance of this work I agree to p-rform all work pursuant to rules governing the described construction.
SIGNATURE / _ II ._ / 7— 7
AGENT/OWNER DATE
ADDRESS 9-0-6 A ) 'vl . V a-33 -6,57 --
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