HomeMy WebLinkAbout0041602-Building (siding) l�
N!
CITY OF OSHKOSH 41602
PERMIT APPLICATION AND RECORD
TYPE: BLDG A HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 q9 A)/CoSo
gEet.mrkb aoKS PLAN NO.
OWNER
DESIGNER
(5 USE /NATURE OF WORK buS r AcZ_ SrCa.. ..S606 Ot
kb u_ w� I 6S 1 7'l4/,
BUILDING CONTRACTOR 'COStt ieC 1I A4 f /t,t/W,
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 p 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
d lam
FEES: Valuatio%i Permit Fee Paid 3 D Park Dedication
ISSUED BY /ir
Date �3 9V Fin
al /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
1 SIGNATURE /J
AGENT /OWNER D ATE
ADDRESS `Q °CY i t f Vf U yVir-
TELEPHONE