HomeMy WebLinkAbout0004206-Building (siding) CITY OF OSHKOSH N2 04206
PERMIT APPLICATION AND RECORD
TYPE: BLDGG ELEC PLBG SIGN ZONING? FLOOD PLAIN, HEIGHT__6.
ADDRESS /701 1 C/(/, /3 �v vt
j n PLAN NO.
b OWNER e C t" c r t j
DESIGNER
USE /NATURE OF WORK Q f P s s
nn// two r S m I� t
/f cc r c!'boa 0 S a r
BUILDING CONTRACTOR Or.c) to Q(
Size S CSC2 Sq. Ft. Rooms Stories Height ?.cS`
Foundation ��/m� Class of Const. C53 Occupancy Permit
F
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
_Lax/ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation
ermit e- Paid Park Dedication
�lM Date D CP
ISSUED BY o Final/O.P.
In the performance of this work I agree to m all work pursuant to rules governing the described construction.
SIGNATURE .is' e: /5" c' 7
AGENT /OWNER DATE
ADDRESS 90 t i A 5_5 os
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