HomeMy WebLinkAbout0023105-Building (siding garage)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
23105
~~P_E~ _ _ ~L~~ ~ _ ~T~ _ C? _ ~~E? _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
ADDRESS ..~ ~
OWNER //1 ~~
DESIGNER
USE/NATURE OF WORK ~.fjz
PLAN NO.
YI.b<J a/ u-m, ~
. 2-~ ~7 (3c::?
Er.r- (7i:/- r-~v-C
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BUILDING CONTRACTOR ~~
Size ~ I Sq. Ft.
Foundation
~.
# Rooms
I
# Stories
p
Class of Const.
I Height
Occupancy permit.4
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 _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
FEES, Valuat;o~{)O;jl) Pe'm;! Fee Pa;d $ M' o~
ISSUED BY z::~ ~~ Date t-!2-t,/cr/
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR/E /Ld L,~
AG IOWNER
ADDRESS
YAt)y/
DATE
1~36---~ 7& i
TELEPHONE #
)
OWNER
DATE
ADDRESS ;[-2-3 /~
USE
PER.f1IT #
GENERAL CONTRACTO R
MASON CONTRACTOR
Width of lot
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0.
CD
o
I
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11\ .- -
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Front of lot
Wc~k consists of
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ZONE
DATE
INSPECTIONS
REMARKS
Izfio/fl I~. 4 rC- ~
MAILING ADDReSS