HomeMy WebLinkAbout0012921-Building (siding) CITY OF OSHKOSH No 12921
'110.. PERMIT — APPLICATION AND RECORD
TYPE: BLDG'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS r / "7 ? GLGt t- 5 e 7,..,_____ PLAN NO.
OWNER /— X1/ ti a ct- CP lc� 2 t° f
DESIGNER
USE /NATURE OF WORK ` /�
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BUILDING CONTRACTOR .2'-i LP (' r (.L -3
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. e Occupancy Permit 'tie //
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
_Lay _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation ymit F 'aid $ -C -/ -""
Park Dedication $
ISSUED BY ' ��/ _ _ .. —AI , // Date A0%.1 `--•
Final/O.P.
In the performance of this work I agree to p. ,$. m all work pursuant to rules governing the described construction.
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SIGNATURE 1 ..a..• ,ar jAlili� 1 ^ Q — F7
�j NT /OWNER DATE
ADDRESS / o -- d.--4.) 0 - 23, j -No c,
TELEPHONE #