HomeMy WebLinkAbout0129931-Building (fence)City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JOB
OWNER
CONTRACTOR
Building
r partici~at•n .e in the Pere,
ssed through your accoun
P~~-t- , P
I am the: L9'Owner OR ^
USA CATEGORY
mgle Family ^Duplex ^Multi-Family
Work being done:
^ Addition
^ External Remodeling
^ Handicap Ramp
^ Sign/Canopy/Awning
^ Swimming Pool
^ Other
Permit Application
~~~~y~~- ~~~~
O HKO H
ON THE WATER
~~`~~
^Commercial ^Industrial ~~
^ Deck/Porch (Patio ^ Driveway/Parking
~~'ence/Hed e/Kennel ^ Garage/Utility Structure
^ Hot Tub/Sp ^ Internal Remodeling
^ Stair/Handr it ^ Stove/Fireplace
^ Wrecking ermit
Additional information, such as plan su
located in the hallway, may be
and approval, may be required before issuance. Fliers,
to note if any additional information is necessary.
•S Full description of
work being done:
~ -~~,(1 C ~Q
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G
.~ I ~P ~~. ~ ~ '~ O ~~ ~ -P C t i O ~''~ SIB (~
(~ i~l ~f'Y l ~ ~~ S S ; ~Q [~ ~t' -'Y1 t~
r -~" ; 1 ~ ~- ~. r
~~ ' a r-a~ -e G ~ ~ .a; I d ~ . n~e .
Value of the job $ 1 Oo ~ ~ ~ (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is comple
information may require additional pern
e
,~~'
and accurate. Any deviations from the above submitted
is to be obtained. 1 acknowledge and a~Ig/~~ree to these terms.
Name: ~ydu ~~. -~a,~f't~~P
~ (Please print)
Signature: ~ Pc.~-u
Date: ~' ~~ D Q
3/02
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