HomeMy WebLinkAbout0022355-Building (siding)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
22355
~~P_E~ _ _ ~L~~ H' _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N?_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
ADDRESS /3/7 8~ ff .
OWNER ~ti~ .ff ~ .
PLAN NO.
DESIGNER
USE/NATURE OF WORK SF~
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# Stories
f
/
Height
BUILDING ~ACTOR /?,,: _ ~ ffi,..,.-u
Size. Sq. Ft. # Rooms
Foundation
Class of Const;
Occupancy Permit
)16
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D ChangeD Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_FOr
_Disp
~DW
_SP
_ WSoft
_OF
_ CBasin
_Lav
_WH
_Sh
_San. Sewer
_BT
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
ISSUED BY
Permit Fee Paid $
..Date
/
V
2..c- . o-v
2-/f/C; I
I I
Park Dedication $
Final/O.P.
wo k I agree to perform all work pursuant to rules governing the described construction.
ADDRESS
~dt-V?b~
AGENT/OWNER
';~8-9/
DATE
TELEPHONE #