HomeMy WebLinkAbout0039871-Building (siding)
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CITY OF OSHKOSH N!! 39871
PERMIT - APPLICATION AND RECORD
TYPE:
BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING - FLOOD PLAIN- HEIGHT-
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OWNER
DESIGNER
USE/NATURE OF WORK (ÇF/f-) IuS/ACe
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BUILDING CONTRACTOR
OUTS i D€R
SIDrf'\.Ab
# Stories It Height
Class of Const. g Occupancy Permit
Size
Sq. Ft.
# Rooms
Foundation
Â-Ú
HEATING CONTRACTOR
Heat D NC 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
_BT
_WH
_Sh
_Disp
_OW
_WSoft
_OF
- CBasin
_Lav
_WC
_FOr
_LTub
-SP
_Ur
- San. Sewer
- Storm Sewer
_Sink
Other
- Eject
-SS
_Water
Permit Fee Paid $
Date
/
::3t), O!;L/
6/49«
Park Dedication $
Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /ß¿~ ~4~;c.rYl...d.
AGENT/OWNER
ADDRESS / /:J. 7 ltJ./ cl-Á /Jú- e...
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DATE
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TELEPHONE.