HomeMy WebLinkAbout0018709-Building (siding) CITY OF OSHKOSH N° 18709
PERMIT - APPLICATION AND RECORD
TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3a, i- � 4c_,Z( ° 'r� PLAN NO.
OWNER Mir 4_ e_ 6-A__ A__ r e. 0..
DESIGNER j�/f / /
USE /NATURE OF WORK (6Lf�« //CHI l° -'f.(_ y / ,S'r' r � k l
r
BUILDING CONTRACTOR it Vt
Size / ?C Sq. Ft. # Rooms # Stories / Height ( f e._
dd
Foundation Class of Const. S Occupancy Permit /0k
HEATING CONTRACTOR `"
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR i-
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 $ 4l M •' - erm' . e Paid $ ,— Park Dedication $
/_ �
ISSUED BY 4 _ A/ Date
li k Final /O.P.
In the performance of this work I agree to perform all work pursuant :o rules governing the described construction.
SIGNATURE �r'�ril/ of 5- -5/ _'C
AGENT /OWNER DATE
ADDRESS ? 2 / � d ,.► C)-iii %e/ / .7 3.% -3/6/
TELEPHONE #