HomeMy WebLinkAbout1991-Building (siding) CITY OF OSHKOSH N2 22942
PERMIT — APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (O 3 a Re-4 -s-c/ PLAN NO.
OWNER) /it 't M.A4 Aoki' E
DESIGNER � /l.. �� / J-- p USE /NATURE OF WORK iLi , (fs �G ---- - �
BUILDING CONTRACTOR e.,e-c.A.-1-
Size / Sq. Ft. # Rooms # Stories Height
Foundation (2Br ri
Class of Const. d Occupancy Permit
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
Lav Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuatio 5' 7° o O V 3S■ o Permit Fee Paid $ Park Dedication $
ISSUED BY e• Date /1liq / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1)-- 0 i 5-°
AGENT /OWNER DATE
ADDRESS 7 a 6 5 /1 ( /�,� ; , ,, -OlOC
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