HomeMy WebLinkAbout0017969-Building (siding) CITY OF OSHKOSH N° 17969
PERMIT APPLICATION AND RECORD
TYPE: BLDG -HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS O d R 1 .3 to 6■- 4 PLAN NO.
OWNER All /t e eie.li
DESIGNER
USE /NATURE OF WORK e' `s'er`y c r t rc_ �cS+ 4 i r
1
Q r
BUILDING CONTRACTOR CL, ak- ed"
Size Sq. Ft. Rooms Stories Height
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Foundation O Z K r S 1 Class of Const. 8 Occupancy Permit,WO
HEATING CONTRACTOR C
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: Valuation 4014r erg ee Paid Park Dedication
ISSUED BY A`.►_. i Date An0 Final /O.P.
In the performance of this work I agree t. •erf II work pursuant to rules governing the described construction.
SIGNATURE Cia g //6/ VC)
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AGENT/OWNER DATE
ADDRESS )9t/( A/ Q 13 -3cp 7 7
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