HomeMy WebLinkAbout0003231-Building (siding)
~
CITY OF OSHKOSH N!!
PERMIT - APPLICATION AND RECORD
03231
TYPE: . B.L~~T~. C:. ~~EC. 0 . ~~BG. O. Sl~~ .0 . ZO.NIN~ ~ l.~ FLOOP. PU:'N~. H~'~HT ~
ADDRESJ9~7 ;fv!lkr-ol.s I-
OWNER CJ'<.JcJ~. S~ urclrol1
PLAN NO.
DESIGNER
BUILDING CONTRACTOR O,"".J It e r
Size24 y: :3 "2- Sq.. Ft. 7 f.et8
Foundation -Z3"/'oc- k
# Rooms
# Stories
Class of canst.. ~lIVt e
I'
~ Height
Occupancy Permit
/
/8
------,
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR :
"--...,
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR '-
---
_Sink
Other
_FOr
_LTub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
~ San. Sewer
_BT
_WH
_Sh
_Lav
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
ISSUED B
/c. .tJc' J
Date '"?~ 2 J - ?f7
Park Dedication $
Final/O.P.
In the performa ce of this work I agree rform all work pursuant to rules governing the described construction.
SIGNATUREC~~
. AGENT/OWNER
ADDRESS (er'! 1 I/-v 66/f1UJ <-S-r-
.3 -;t3--T ;/
DATE
;233-0/30
TELEPHONE #