HomeMy WebLinkAbout0023315-Building (soffit & downspouts)n _CITY OF OSHKOSH N°_ 23315
PERMIT APPLICATION AND RECORD
TYPE: BLDG ~' HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ `~ ~~~~" ;q.~''S~-~~''~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size ~~~~.... Sq. Ft. # Rooms # Stories ~ Height
Foundation 6j'~a~.G Class of Const. oJl' 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
s
FEE
~ ~ ~
~~ ~ ' O ~
S: Valuation $
~ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ~ Final/O.P.
In the performance of this w agree to perform all w a t to rules governing the described construction.
SIGNA
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AGENT/ DATE
ADDRESS
TELEPHONE ~