HomeMy WebLinkAbout0012868-Building (siding)/~ CITY OF OSHKOSH No 12868
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIf~EIGHY~~
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ADDRESS ~ ~~ It.r ~.,C `J-GGr_ /' /[2 CL PLAN NO.
OWNER ~~ ~"/P1~1 t° ~~r
BUILDING CONTRACTOR f!~ _e ('''
Size Sq. Ft. # Rooms # Stories ~ Height
Foundation ~ ~~, ~- Class of Const. ~ Occupancy Permit,/~~
~a r~ a cr'
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
Lav Sh
WC FDr
-Sink LTub
Other
- Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
Storm Sewer
-Water
FEES: Valuation ~
~~ it Fee Paid $ ~ y z~ Park Dedication $
ISSUED BY Date ~/,~9 Final/O.P.
In the pertormance of this work I
SIGNATURE
ADDRESS a7~
to perform all work pursuant to rules governing the described construction.
Q
AGENT/OWNER
~l-i~-~~
DATE
`~.3/-7~`7S
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