HomeMy WebLinkAbout0024841-Building (siding) CITY OF OSHKOSH N2 24841
PERMIT - APPLICATION AND RECORD
TYPE: BLDG , HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS_ / %:/ F
9 ib� PLAN NO.
OWNER '
DESIGNER /
USE /NATURE OF WORK � k .li'C- )7c,(,.c✓ � F
BUILDING CONTRACTOR Mk-e-i--
Size Sq. Ft. # Rooms # Stories / Height
Foundation Class of Const. r Occupancy Permit /a
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: Valuation � 3 0 , ' — " 0 Permit Fee Paid $ 7-6.0 .� Park Dedication $
ISSUED BY �� /
„ `� t- Date <F7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' ,a—
AGENT /OWNER
DA
ADDRESS ' 06r.; 0 ' . _ S 0
TELEPHONE #