HomeMy WebLinkAbout0010469-Building (siding) CITY OF OSHKOSH No 1
PERMIT APPLICATION AND RECORD
TYPE: BLDG)HTG ELEC PLBG SIGN ZONING I FLOOD PLAIN HEIGHTALILS
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ADDRESS 0 kit kJ 04 'SST i i A PLAN NO.
OWNER 1�i i koH IN.)
DESIGNER (L
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S ATURE OF Sic-- C- C Y 1 (l
WORK E) ,S— 4 I, i&
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C SI Aiy c Sa1,A,6 A /2 0 4 BUILDING CONTRACTOR 14 L.z 7L--.) JA
Size Sq. Ft. F Z- Rooms itories Height
Foundation Class of Const. tfr Occupancy Permit FW?
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR O A/E.
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: Valuati 1°v Permit Fee Paid 0 Park Dedication
ISSUED BY r .e/�►-, Date q ee Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE s�%/ 9.. 1r
AGENT /O ER DATE
ADDRESS ";`-te "9 74/
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