HomeMy WebLinkAbout0023330-Building (siding)CITY OF OSHKOSH N° .23330
PERMIT -APPLICATION AND RECORD
TYPE: BLDG~G ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ / -~ ~ ~ 7 ~ ~~ ~° PLAN NO.
OWNER ~~ ~~' V h~K ' ~--
DESIGNER
USE/NATURE OF WORK ~'-5 ~ c~ s' ~
f I'
t
BUILDING COP
Size
Foundation
v
Sq. Ft
# Rooms # StorQies _~_ Height
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: Valuation $ ~ Permit F e Paid $_ .J r-- Park Dedication $
ISSUED BY Date ~~ Final/O.P.
In the pertormance of this work I agree to
SIGNATURE
ADDRESS
all work pursuant to rules governing the described construction.
DATE
TELEPHONE #