HomeMy WebLinkAbout0014775-Building (siding)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14775
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BLDG;g( HTG D ELEC D PLBG D SIGN D ZONING \2 I
FLOOD PLAI~
HEIGHT AI (p-
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TYPE:
ADDRESS tq L I I~ u ReCfLD Sr
OWNER ~"')tJ A Lf.J 'V ' ~R.A-,0k-
PLAN NO.
DESIGNER
USE/NATURE OF WORK S:'
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BUILDING CONTRACTOR' '])6N6L~' J)k7M~::;;k..{
Size
# Rooms
# Jtories
Class of Const. . (5
r V'Z-
Height
Sq. Ft.
Foundation
Occupancy Permit
HEATING CONTRACTOR
A foAl A'-
.
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
NONs<.
Electric Servo New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
/<l (j /U"'--
(
_Sink
Other
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_WH
_Sh
_ San. Sewer
_BT
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
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Permit Fee Paid $
Date
:2aV
8.-7-89
Park Dedication $
,JJ (A
ISSUED BY
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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AGENT/OWNER
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8/7/i (
/ I DATE
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TELEPHONE #
ADDRESS