HomeMy WebLinkAbout0024695- Building (siding) CITY OF OSHKOSH N° 24695
PERMIT — APPLICATION AND RECORD
TYPE: BLDG t HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS AO 0 -ci51:1,4 ' 7:r-- --- PLAN.NO.
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DESIGNER
USE/NATURE OF WORK edP1 )7/.1.4) /1&•ljr-o(Lo-frN
C .--7,ce,r Ae,-3PI- d-.77-c '
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories / Height
Foundation Class of Const. k Occupancy Permit t
VD
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
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FEES: Valuation $ CI-VD- ro C) Permit Fee Paid $ 35 •iJ.D Park Dedication $
ISSUED BY v, � Date s/7Alf Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Cr-- 2 - 9)
AGENT/OWNER DATE
ADDRESS 70 < �• Cp-g—`, ICIrj-\_ r 35---01OG
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