HomeMy WebLinkAbout0039868-Building (roof, siding & repairs)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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Ng 39868
TYPE: BLDG ~HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
Size
Foundation
Sq. Ft.
# Stories
BUILDING CONTRACTOR
Class of Const.
"-
C- Height
Occupancy Permit
r;
!cer#
HEATING CONTRACTOR
-toMA
eat Loss
BTU'S
Heat 0 AlC 0 Vent 0 Fuel/System
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type
Volts
Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
/d~r-'S: ~q (I
_Lav
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_WH
_Sh
_FOr
_ L Tub
_Disp
_WC
_Ur
_ San. Sewer
_ Storm Sewer
_ Water
_Sink
Other
_ Eject
_SS
ISSUED BY
Fee Paid $
Date
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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ADDRESS
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b I R- /71
I DATE '
2 '51- 251)0 ra-vk;
TELEPHONE # (
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AGGWIOWNER