HomeMy WebLinkAbout0023933-Building (siding)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
23933
~~P_E~ _ _ ~L~~ t ~T~ _ C? _ ~~E~ _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
ADDRESS
IfLf3>}/~
OWNER I~ l.tb~..e/
USE/NATURE OF WORK /r/ }r~
PLAN NO.
DESIGNER
;k:.J /~
BUILDING CONTRACTOR ~~
Size
Sq. Ft.
# Rooms
# Stojt
Class of Const.
Height
Occupancy Permit ~
Foundation
HEATING CONTRACTOR
Heat D NC 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 _ L Tub _ Eject _SS _ Water
Other
FEES, valua~.'o $ (p~:;;,j!O ~ermit Fee Paid $
ISSUED BY 'LLl1 ~ Date
~o.O()/
. /U' ,/er I
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
&~~O --9 {
DATE
TELEPHONE #