HomeMy WebLinkAbout0035525-Building (siding)~~~
N~ 35525
CITY OF OSHKOSH
PERMIT _
APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING F LOOD PLAIN HEIGHT
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ADDRESS _ Q D C, ~~~~`~ ~ °
PLAN NO.
OWNER
DESIGNER
~ ,°
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # ores Height
Foundation Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ 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 - LTub -Eject - SS -Water
Other
FEES: ,Valua ' $ 00 0 , F, p permit Fee Paid $ ~° ~ ~ Park Dedication $
ISSUED BY Date ~ Final/O.P.
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE ~ '~>~ -~~
AGENT/OWNER SATE
ADDRESS
TELEPHONE N