HomeMy WebLinkAbout0041699-Building (siding) /4
CITY OF OSHKOSH N2-41699
PERMIT APPLICATION AND RECORD
TYPE: BLDG, HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS l "GC) A) 11 SOY Ni e-- PLAN NO.
OWNER Yl AO\ N W'
DESIGNER r
USE /NATURE OF WORK 3 3 P2._ ^�.L_n r&\ V ■'()I 1 NAI
nCj
BUILDING CONTRACTOR ida-0 46
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 El 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: Valuatio
n Permit Fee Paid I Park Dedication
ISSUED BY LX Date c9 q
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
I
SIGNATURE 10 -3_ ?f/
AG NER DATE
ADDRESS 7 c L x�- vZ_r e-)2 0e
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