HomeMy WebLinkAbout0016940-Building (siding)~ CITY OF OSHKOSH N° 16940
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG TG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~ `1 ~v ~~ PLAN NO.
OWNER~~:^~/ ~~rUCl~S~''~'
DESIGNER
USE/NATUf
BUILDING COIWTRACTOR~~iJ~c~ Pv~Yf'F /7 ~~'r
Size Sq. Ft. # Rooms # Stories Height
Foundation
Class of Const. Occupancy Permit
HEATING CONTRACTOR t
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
Volts Amps
- Circuits
BT WH Disp WSoft
Lav Sh DW DF
WC FDr SP Ur
-Sink LTub Eject SS
Other
CBasin
San. Sewer_
-Storm Sewer
-Water
/~~ ~-
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ~1 -'~~ ' ! ~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~i~
TIOWNER DAT
ADDRESS ~~-'\ '~ ~ o /' ~ c--`" G3J`-' -~~t~ ~C~
TELEPHONE #