HomeMy WebLinkAbout0012413-Building (siding)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
12413
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OWNER
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PLAN NO,
ADDRESS
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USE/NATURE OF WORK
DESIGNER
BUILDING CONTRACTOR ...s:t0'-\.J e- ~ ~ e e
Size
Sq, Ft.
# Rooms
# Stories
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Height
Foundation
Class of Const.
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. Occupancy Permit
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HEATING CONTRACTOR "
Heat D AlC D Vent D Fuel/System
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Heat Loss
BTU'S
ELECTRIC CONTRACTOR .;-
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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 _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
ISSUED BY
Fee Paid $ ~~6'€)
Date 2 ~ 2 5" r-BY
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction,
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SIGNATURE. .. . ~~
AGENT/OWNER
ADDRESS . '. _ :5h.-
d-;)3~a
DATE
d35 ~ 6030
TELEPHONE #