HomeMy WebLinkAbout0004084-Building (siding)4�6 CITY OF OSHKOSH N°_ 04084
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN E] ZONING FLOOD PLAIN P� HEIGHV�
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ADDRESS —3 C��a 1,O 4,— _ PLAN NO.
OWNER �`-�C LCc_ 7 2t—a-41yaVt
DESIGNER OF
USE /NATURE OF WORK re 61t r PL
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BUILDING CONTRACTOR v 129 cv
Size Y6 X- � Sq. Ft # Rooms # Stories - -.
Foundation �& 4b C, K Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss
BTU'S
ELECTRIC CONTRACT
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_BT
WH
Lav
Sh
— WC
FDr
Sink
LTub
Disp WSoft
DW _ DF
SP Ur
Eject SS
CBasin
San. Sewer
Storm Sewer
Water.
Other
mss.
FEES: Valuation $ �D rmit Paid $ �- 19O Park Dedication $
ISSUED BY Date I� -1 Final /O.P.
In the performance of this work I agree to
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SIGNATURE
all work pursuant to rules governing the described construction.
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AGENT,,OWNEH - /
ADDRESS
� ��� 61 7
TELEPHONE #