HomeMy WebLinkAbout0003455-Building (siding)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
03455
TYPE: BLDG"pt HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING f:?:.-s- FLOOD PLAIN ~. HEIGHT Ai fA-
OWNER
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PLAN NO.
ADDRESS
USE/NATURE OF WORK
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DESIGNER
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BUILDING CONTRACTOR cr:;:::-rk?t/;€;J<,fl€€ /t1k ~ G
Size
Sq. Ft.
# Rooms # Stories
Class of Const., /g
Height
Occupancy Permit /Urr ~.t:Ptt /~:.O
Foundation
HEATING CONTRACTOR A /C?.-t../'~
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
A)Q...(/ i{
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Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR P-<>.N<'
_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:
Permit Fee Paid $
Date
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C-f- (L(-cY7
Park Dedication $
Final/O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~.c- ~ ~fi'\~
G NT/OWNER
ADDRESS ;} 41:50 '1)~JJ1 s ~,O'\;D II'\. .
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TELEPHONE #