HomeMy WebLinkAbout0045275-Building (siding)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N~ 45275
TYPE: BLD~ 0 ELEC 0 PLBG 0 SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER ,.
USE/NATURE OF WORK S- t=- Y
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BUILDING CONTRACTOR
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Foundation
Class of Const.
# Stories
8:>
I
Height
Size
Sq. Ft.
# Rooms
Occupancy Permit
AJl(!)
HEATING CONTRACTOR
Heat D AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change D Temp 0
Type
Volts _ Amps_
Circuits
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_WC
_Ur
_ San. Sewer
_ Storm Sewer
_ Water
_Sink
Other
_ Eject
_SS
ISSUED BY
ee Paid $
Date
Park Dedication $
Final/O.P.
-
IS work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~ ~~NER
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6- [ :4/
DATE
ADDRESS
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