HomeMy WebLinkAbout0013174-Building (siding)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13174
TYPE~ _ _ BL~~TG _ 0 _ ~LEC _ C? _ PLBG _ C? ;, ;; -4~!c A-- ~OOD P'-:"~ _ _ _ _ _ _ ~EIGHT_ _ _ _ _
ADDRES5 {3 Z s:- <t;t!h vL ." t fb-~ 0 ~e PLAN NO.
OWNER ~. r~ft k /::;t: [[~ ,r V-~ Dc< (Je 'Es e r-VLclf-
DESIGNER
61l
tCtJ D'I M
FM-
BUILDING CONTRACTOR
Foundation
Sq. Ijh_
I!;;:tcr":5 if
# Rooms
# Stories
Class of Const. ~
Z- Height
Occupancy Permit
,/Z~
Size
-------
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
..
---..~-
ELECTRIC CONTRACTOR
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
ee Paid $~"'I ~ ~ Ji:'
Date ~S-~~j
.
oC;
ISSUED BY
Park Dedication $
Final/O.P.
erform all work pursuant to rules governing the described construction.
SIGNATURE
~~~ ~~-
5/54rJdrOA- JJ/
5.:- .2- J' I
DATE
cd IS:- /' eT -LY
TELEPHONE #
ADDRESS