Loading...
HomeMy WebLinkAbout0007239-Building (siding, window & door) � CITY OF OSHKOSH N° 07239 PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING "O�- FLOOD PLAIN� HEIGHT NIA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_i �a� W- l.�� "`�V� - PLAN NO. OWNER ��� S�SSI�/US DESIGNER USE/NATURE OF WORK �J L� -_N� 1 L S ��l)CE lV�� ��d/,'VC� W� l G L S�� �v o � �s �.NT .�v :�o �l Vf v�ce eo�,, �.�I(N Ao a�7 C<1a u, � � � ctir"/G C. (,�/r� �?l/1M ,� 2 r�l�U,r.4 �-pp,T� ��J BUILDING CONTRACTOR �'�'��� Size Sq. Ft. ��� # Rooms # Stories 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: Valua on Permit Fee Paid $ / � Park Dedication $ � � ISSUED B � Date �� �o� Fi nal/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described consiruction. SIGNATURE � 3 ' (- �g AGENT/OWNER DATE � ADDRESS_ �� Z�l � ) � ��,C9 O � ZC� � TELEPHONE# �: