HomeMy WebLinkAbout0029273-Building (exterior repairs)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
29273
TYPE:
BLDG"M' HTG D ELEC D PLBG D SIGN D ZONING - FLOOD PLAIN- HEIGHT-
DESIGNER
PLAN NO.
ADDRESS
OWNER
BUILDING CONTRACTOR
~.x
4/ ~rlj¡d--
# Rooms
# Stories
L Height
Occupancy Permit J::~¿;::t
Size
Foundation
Sq. Ft.
Class of Canst. ¿tffi!)
HEATING CONTRACTOR ---
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ------
Electric Servo
New D Change D Temp D
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR -
_WC
_FDr
_LTub
_Disp _WSoft - CBasin
_DW _DF - San. Sewer
-SP _Ur - Storm Sewer
_Eject -SS _Water
_BT
_WH
-Sh
_Lav
_Sink
Other
ISSUED BY
Permit Fee Paid $ ¿ 7, ~--O ;/
Date C. --Ig- '12-
Park Dedication $
Final/O.P. ;Y ¿f? - 9:2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
1'JJé1í/ A ~:t~/
AGE 10WNER
cj;)3 / f2
DATE
ADDRESS
TELEPHONE #
OWNER fi(~ï' fL~I~ ~
DATE i</2.4 tfL- , PERMIT # 2127"1
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GENERAL ONTRACTOR
ADDRESS r4cx> ¿,ß ¿ rA/
USE
Wo-rk cons is ts of
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-ZONE
MASON CONTRACTOR
Width of lot-----
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Front of lot
DATE INSPECTIONS
ç/; L REMARKS
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