HomeMy WebLinkAbout0023650-Building (siding)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
23650
TYPE: BLDG Ai HTG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT
~~~~E~~ - i- ~ ~ ~ - /~ fj - - - - - - - - - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - -
OWNER (!kJ~ J1~
DESIGNER
BUILDING CONTRACTOR &.d- ~
Size ~~r- Sq. Ft. # Rooms
Foundation
Class of Const.
# Stories I V l--
P
Height
p;
Occupancy Permit
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
ISSUED BY
Peem;! Fee Pa;d $ .;:2f 00
~ Date (,/ tf ft-r
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~~
r: _ _31~~
AGENT/OWNER
~- '/- /1
DATE '
ADDRESS
TELEPHONE #