HomeMy WebLinkAbout1989-Building (siding) (111-) CITY OF OSHKOSH N9 14343
PERMIT - APPLICATION AND RECORD
TYPE: BLDG. 4eHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ( FLOOD PLAIN HEIGHT
ADDRESS SZ- 1 % Re ' Ci6ie._, PLAN NO.
OWNER L) Cis" �//t.'L •S� kt f t of /
DESIGNER
g .
USE /NATUR F WORK `.
(, II ��t �� . _ ,� *1n. I K. V K.1__ y" ,
BUILDING CONTRACTOR (OLA.9 In-e.r- �/
Size . /
Ft. # Rooms # Stories / Height / 7 5 � ` , nn
Foundation q Class of Const. 8 Occupancy Permit /CAP
HEATING CONTRACTOR C
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
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation * .0�0 • , 'Per ' .'e Paid $ _ ilk 02- J Park Dedication $ N _ l ��
ISSUED BY I P ■ ∎ _ �., e - j / Date b
IF Final /O.P.
In the performance of t is work l agree to perform all work pursuant to rules governing the described construction.
/ '/
SIGNATURE _ - _ _ - -+
AGENT /OWNER DATE
ADDRESS /.5-.--.7
TELEPHONE #