HomeMy WebLinkAbout0023575-Building (siding)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
23575
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ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK .4 r~
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BUILDING CONTRACTOR ~
Size 9rl1: ~ .~. Ft.
Foundation ~
tC
d-?~
Class of Const.
# Stories
V
I
Height
Occupancy Permit /~
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# Rooms
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
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr o,_SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
I
It- J
Permit Fee Paid $ ~ ,() 0
"' Date q:5&/1/
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.
SIGNATUREA~ 4~
AGENT/OWNER
ADDRESS 11 1-? -7/1 C C>.holj _/.-:t
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DATE
TELEPHONE #