HomeMy WebLinkAbout0041701-Building (siding) cLi I
CITY OF OSHKOSH N- 4 "lu1
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS t 'l'l �I I 1&)1( PLAN NO.
OWNER `1 1 1 ■l Ai 1 r
DESIGNER
USE /NATURE OF WORK F Q J 2,.n -k I\ V n i f `t I n
BUILDING CONTRACTOR athiAts
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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation q5 t ,,co Permit F Fee Paid Park Dedication
ISSUED BY I 9 a �_9 V
Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 70 3 '7'
AGENT /OWN
DATE
ADDRESS 70 6- -0 ,2�� ---9" Q
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