HomeMy WebLinkAbout0001311- Building (Siding) CITY OF OSHKOSH N2 01311
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING KM-FLOOD PLAIN 4 HEIGHT_ `-
ADDRESS U U1 ,u z.,.(2_,, 5 14`' PLAN NO.
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OWNER � ✓�� �
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTORC,L /
Size Sq. Ft. # Rooms # Stories / Height
Foundation
Class of Const. cr- Occupancy Permit f
I
HEATING CONTRACTOR(/� -
11 Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ;A7
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
r' ars
FEES: Valuation $ Permit Fee Paid $ /U' Park Dedication $ / _.
ISSUED BY)` -a- Date t.--/` -e4. Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -)•-• ., g ) \(Kr
AGE /O ER DATE
ADDRESS TELEPHONE#