HomeMy WebLinkAbout0030103-Building (siding)~ CITY OF OSHKOSH N° 30103
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ y ~ ' PLAN NO.
OWNER
l~
DESIGNER
USE/NATURE OF WORK / ~'/~G~ I"I/~/ ~/~N~ °I / /-P~f~ /i~~i~2~i
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Z Height
Foundatio Class of Const. ~ Occupancy Perm
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: Valuatio $ ~.~_ !?ermit Fee Paid $ -3 ~~' O O ~ Park Dedication $
ISSUED BY ~~y- Date ~ ~ ~ ~ L Final/O.P.
In the performance of this ~e~eor all w ursuant to rules governing the described construction.
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SIG r^
AGEN /OWNER DATE
ADDRESS
TELEPHONE #