HomeMy WebLinkAbout0024402-Building (siding) CITY OF OSHKOSH N° 24402
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /376 e /---/ `-o` 'OA PLAN NO.
OWNER )
DESIGNER
USE/NATedaNORK e, e/.,...,--„-/ .4„, 7,l.�c,,• '
BUILDING CONTRACTOR. Cwt
Size Sq. Ft. # Rooms # Stories / Height ,/
Foundation Class of Const. i Occupancy Permit / A (9
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 /27O, 0 J Permit Fee Paid $ .2 0
Park Dedication $
ISSUED BY z '_" "- Date 7 /--Z/ ( Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
011
GENT /OWNER DATE
ADDRESS
TELEPHONE #