HomeMy WebLinkAbout0041374-Building (sign) ��
CITY OF OSHKOSH N� 41374
� PERMIT - APPLI ATI N AND RE RD .
C O CO
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN�ONING FLOOD PLAIN HEIGHT
ADDRESS ��� � � -[ �c. �dl � � PLAN NO.
OWNER / � ��� �� `� Z- P r
DESIGNER
USE/NATURE OF WORK '`� ��-L— �
/ sr c�
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: Valuation � P rmit F id $�� Park Dedication $ �i
ISSUED BY Date � Final/O.P.
In the perf nce o is work I agree to p rt rm atl work pursuant to rules governing the described construction.
SIGNATURE G � �
AGENT/OWNER OATE
ADDRESS ��� ���� �/�v� ��/ ��/v-
TELEPHONE N