HomeMy WebLinkAbout0013083-Building (siding) CITY OF OSHKOSH N2 13083
PERMIT — APPLICATION AND RECORD
TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAI HEIGHT S v (A-
ADDRESS (7 65 Z ( V I 4 Vet PLAN NO.
OWNER L$ .SS IC-LC- -- 7 - r_ - _7-12_.
DESIGNER
7E/NATURE OF WORK "CtV(C.l� /C- 4 S i�t/C. ' f� i S /f)/ L O,�J
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BUILDING CONTRACTOR LUEL.E S L C(_ vrAI,6\fr
Size Sq. Ft. 1 OO # Rooms # Stories ( Height
Foundation Class of Const. Occupancy Permits J - T l (/12,0
HEATING CONTRACTOR A16 API(
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR N® N4 "
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /V
BT WH Disp WSoft — CBasin
_Lay Sh DW DF San. Sewer
WC —. FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
• Permit Fee Paid $ V /
i ' g a Park Dedication $ ' ��
FEES: Valuatio
ISSUED BY/
- _�. -W Date -i'
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATU - _.,..0 ^, _,Y 7
/OWNER DATE
ADDRESS d C ' _ (1 a 35 -O 1 0 (o
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