HomeMy WebLinkAbout0000745-Building (siding) CITY OF OSHKOSH N2 00745
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING f (1FLOOD PLAIN 5 HEIGHT ?k
ADDRESS I J 7 W/ ND SD/2 5+— PLAN NO
OWNER LA P-K ke_ A4..c.1 SIC-12_ c/,4-
DESIGNER c
USE /NATURE OF WORK d/,J& Le at /4J(-!(/C )CGJ 40"-)6
L90t- /ii E
BUILDING CONTRACTOR el7--
-7 Size Sq. Ft. Rooms Stories Height 1 �i
Foundation //G
Class of Const. Occupancy Permit A
HEATING CONTRACTOR'
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTORiQ
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /Adr
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
d s�� V
FEES: Valuation
Permit Fee Paid �7� Park Dedication l,
ISSUED BY Date r--/-e-4. Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU
AGENT /OWNER DA TE
ADDRESS
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