HomeMy WebLinkAbout0020371-Building (porch repairs) CITY OF OSHKOSH N° 20371
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 ham- 2 Cc.- i‘C'. PLAN NO.
OWNER -7:)41 4V
DESIGNER `J
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USE /NATURE OF WORK 3- fF'fc 7 7 (a C Q Cr o lec_ K. it 0
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1 C f cD £e �r�✓�-0 0- w..._ w it..41 N
BUILDING CONTRACTOR u-
Size Sq. Ft. Rooms Stories Z Height
Foundation Class of Const. S 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
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
7
FEES: Valuatio 4941 Per t ee Paid e 111 Park Dedication Air
ISSUED BY /il.. J vi Date 0 Final /O.P.
In the performance of this work I agree to •erform all work pursuant to rules governing the described construction.
SIGNATURE J .O. f CLAAA.A. AA AGENT /OW R 44_0 ATE
ADDRESS 1 0 S 3 5�O
�o t��l �3 I 7
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