HomeMy WebLinkAbout0036218- Building (siding) /''
CITY OF OSHKOSH N°- 36218
PERMIT - APPLICATION AND RECORD
TYPE: BLDGTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
,+
ADDRESS /0/[U ���r-r-,,,. PLAN NO.
OWNER 62 4 /64 , 47y--0-7---_(T.;_i
DESIGNER
v
USE/NATURE OF WORK /� / '1� / r' rt�`t� L� L.-T-777-67,
c G�'4,'� Y
BUILDING CONTRACTOR / [%t r /,�C--,_S
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
-Lay Sh DW DF San. Sewer
-WC FDr SP Ur Storm Sewer
_Sink LTub Eject SS Water
Other
// s
FEES: Valuation $ � g ermi Paid $ ,14`- �°+' ,� Park Dedication $
ISSUED BYre, �2�f�-/L/� Date /69 ` / " Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
ZSIGNATURE -1.1-1--�� dy % C�
«// AGENT/OWNER � DATE
ADDRESS a.. ✓" 0 ? `� "'
TELEPHONE#