HomeMy WebLinkAbout0013261- Building (Siding) CITY OF OSHKOSH N9 13261
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PERMITAPPLICATION AND RECORD
TYPE: BLDG TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS L a /V' kc,,,,- (,_ s'l PLAN NO.
OWNER / Dy K t'' I
DESIGN ER
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USE/NATUR OF W RK / � '`' r N I 't:::' r1 ' .t) A/ ' _/
So =/ / 1 _/ . _J /IV ,
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BUILDING CONTRACTOR 4'--4d`"C' /70 kg e (‘ --A....-7.0`O Cl e NA F 5
Size Sq. Ft. # Rooms Stories Height
ri
Foundation Class of Const. Com. 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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuatio�' At
P- - ' 'ee Paid $ � Park Dedication $
ISSUED BY -=//., L'!'A"-Y/L —I"- Date ACIL ° Final/O.P.
In the performance of this work I agr :'perform all work pursuant to rules governing the described construction.
SIGNATURE - /v'- `8?
AGENT/OWNER DATE
ADDRESS
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