HomeMy WebLinkAbout0031049- Building (siding) CITY OF OSHKOSH N° 31049
PERMIT - APPLICATION AND RECORD
TYPE: BLDGXHTG 0 ELEC 0 PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 13 17 • PLAN NO.
OWNER ,JI.4 (1 a Afr
DESIGNER �j
USE/NATURE OF WORK PX //ems , /4s-rrcivL‘ /-el,
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BUILDING C NTRACTOR u e'
Agee--,-,
Size Sq. Ft. # Rooms # Stories i Height
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Foundation Class of Const. 0 Occupancy Permit,/U0
HEATING CONTRACTOR
Heat ❑ A/C 0 Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change 0 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
FEES: Valuatio $ SQL 0. 0 c7 Permit Fee Paid $ 3 S •� Park Dedication $
ISSUED BY Date (730/5 1-- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATUR / "�'' ' t_...—
AGENT/OWNER DATE
ADDRESS TELEPHONE#