HomeMy WebLinkAbout0029461-Building (soffit & fascia) CITY OF OSHKOSH N° 29461
PERMIT - APPLICATION AND RECORD
TYPE: BLDG / HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 o i- 41 • Y' r Q.ei71. PLAN NO.
OWNER (:14.a t/ G4
DESIGNER
USE /NATURE OF WORK _1 /` L
,.eGe Y 74.40
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories ories Height �/
Foundation Class of Const. a Occupancy Permit N 0
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
.— Lay _ Sh _ DW _ DF _ San. Sewer
WC FDr SP Ur — Storm Sewer
— Sink LTub — Eject SS _ Water
Other
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FEES: Valuation $ 6 / r3 v l
b• 0 J - Permit Fee Paid $ /O 0 0 Park Dedication $
ISSUED BY A-61.44/1L-3--.—' D 64 S'7% Z— 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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SIGNATUR , _ 4 e / - _ #
/'� -- ..% � -( AGENT /OW `ER DATE
ADDRESS /V c . 7 / l s Cr-- C S` XI I S k g3/
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TELEPHONE #