HomeMy WebLinkAbout0019363-Buiding (siding)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19363
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ADDRESS ?- ~/ 9 ~
OWNER ~ ,/2~
PLAN NO.
DESIGNER
USE/NATURE OF WORK ~ ~L~~ / ~ NA~J /~
<~,~ .~~r~ ~1U-
BUILDING CONTRACTOR
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Size
Sq. Ft.
# Rooms
# St~s
Class of Const. ('
I
Height
Occupancy Permit
/
/0
Foundation
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ OJ 9 tt-t? J-V Permit Fee Paid $
ISSUED BY 9~~ /~~~ Date
45. 00 /
7/lIltjo
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.
SIGNATURE
- 7-1/ -90
DATE
ADDRESS
d3~--O)l) ~
TELEPHONE #
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