HomeMy WebLinkAbout0041700-Building (siding) CITY OF OSHKOSH N 43.1'00
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 bin \Al ikon A'V-e_. PLAN NO.
OWNER —ChSb C1 I i 1 i Ao i
DESIGNER
USE /NATURE OF WORK _Eg In.��i 1,
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BUILDING CONTRACTOR d.i.i.P-k
Size Sq. Ft. Rooms Stories Height
Foundation 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: Valuati7 'Y 6 I
Permit Fee Paid Park Dedication
ISSUED BY 2 9, 7 Final/
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Date 7/ O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE Z.` ``,4111" LL=--
T /OWNER
DATE
ADDRESS_ Q±a /Lt_ Si (7_
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