HomeMy WebLinkAbout0038637-Building (siding
/l.-/ I
-
N~ 38637
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
~~P_E~ _ _ ~L~~ _~ _ ~T? _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N? _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
OWNER
flLJ5
/JIJIK~
'~S,M.A12 CJ(
WILl1c
PLAN NO.
ADDRESS
.s/ o/,a:;- I Atub
f
BUILDING CONTRACTOR
[)JILJ(t;; /J:oAAYS 'I-- SIO;tU(5
( 6~S 6('101)
Size
Foundation
# Stories
Class of Const. ?
I
Height
Sq. Ft.
# Rooms
Occupancy Permit
NO
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 _ L Tub _ Eject _SS _ Water
Other
I' ~ C2c:7
FEES: Valuation $ ..:> 0...;0. .-
ISSUED BY -:Z;~ S~
Permit Fee Paid $
Date
/
I~ QJ2. j
'3/:2fJQ,/
Park Dedication $
-
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
qr0J
~~1
J(U~
~-;l~~"tlJ\
AGENT/OWNER
DATE
ADDRESS
& ~ "}N'\.."V'( '"
d.~S.;l3S
TELEPHONE #