HomeMy WebLinkAbout0012920-Building (siding) CITY OF OSHKOSH N2 12920
PERMIT - APPLICATION AND RECORD
TYPE: BLDG. 14TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9(7 /'i.i. ci ,„ :m4,_ PLAN NO.
OWNER ir`[ r c2 c, c-t- _r-, ,>v > 7 P 6'
DESIGNER / /
USE /NATURE OF WORK t` ! pct (-Pt c y /� )q
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BUILDING CONTRACTOR v f' c
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. en Occupancy Permit
..._____ a___________
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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
::: t � err � •e Paid $ PaDedication $
Ad. � ` ` . � � Date '`
Zp --- Final /O. P. iik,
In the performance of this work I agree t± -rform all work pursuant to rules governing the described construction.
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SIGNATURE A_ iii 7- 2k c Y
AGENT /
DATE
ADDRESS d G ..a<••' a . 3 6 - - (')) n ,,
TELEPHONE #