Loading...
HomeMy WebLinkAbout0030325-Building /� CITY OF OSHKOSH N° 30325 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG �J HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - -��- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 7' ��(�(��l�` �� • PLAN NO. OWNER D'�/ �L� A �-�!!'� DESIGNER � USE/NATURE OF WORK Gt'G� �.� . .-- RGC � 07t� . - . . '�,� G2�t.� � ur- l�, • �''!?r�C f.�,eu�`r/� � BUILDING CONTRACTOR �� Size Sq. Ft. # Rooms # Stories 2"' Height Foundation ����'�'- Class of Const.� 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 Lav Sh —DW —DF _San. Sewer —WC —FDr SP —Ur —Storm Sewer —Sink —LTub _Eject SS Water Other FEES: Valuation $ �'��d� Permit Fee Paid $ a��'�J Park Dedication $ ISSUED BY � Date O � 'v Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �1� �1 - � , g''�-� ��21 AGENT/OWNER DATE ADDRESS TELEPHONE� { ; U�r1i�ER ADDt"tESS b . � �: :�?�'�'E PERMIT # USE � � . WoYk consists of�" r ^ ; GENERAL CONTRACTOR � � MASON .CONTRACTOR ZONE Width of lot DATE II3SPECTIONS REI�lARFCS �,� ��.� Q � ; :; . '� � ti w ���.�� _ � � � Q � � � a m A , Front of lot MAILZNG ADDRESS