HomeMy WebLinkAbout0041128-Building (soffit & fascia) 1Le
CITY OF OSHKOSH NQ 41128
PERMIT APPLICATION AND RECORD
TYPE: BLDG V HTG ELEC PLBG SIGN p ZONING FLOOD PLAIN HEIGHT
ADDRESS acco 1 pvetiEsre AI/c• PLAN NO.
OWNER i DU A NC J `e- '4
DESIGNER 1
USE /NATURE OF WORK (SK 7"CI.LXLA I'NO M 1`T /kW 'Fs) A
BUILDING CONTRACTOR LC.K.
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
Lav Sh DW DF __San. Sewer
WC FDr __SP Ur _Storm Sewer
Sink LTub Eject __SS Water
Other
FEES: Valuatio J j Permit Fee Paid So (27-2) P ark Dedication
ISSUED BY Date Pig/ Final /O.P.
In the performan e of this work I a e to pe all work pursuant to rules governing the described construction.
SIGNATURE 5-- I qy
ENT /O DATE
ADDRESS �Q i j/ l l 5 -a to 6
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