HomeMy WebLinkAbout0022592-Buiding (siding) CITY OF OSHKOSH N° 22592
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 1ITG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3/ to -J c-- 4 i4 PLAN NO.
OWNER r P O— / t o / , —
D ESIGNER
USE /NATURE OF WORK, �� � ' e Sr•`���■ ! /1 4 n 4Cti,�
4 ker7titszigargelagetz
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BUILDING CONTRACTOR • i _ : rlits4y "—
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 8 Occupancy Permit _JCL
HEATING CONTRACTOR r
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
i
FEES: Valuation eal111 Perm' ee Paid $ V
Park Dedication $
ISSUED BY �� ��� //
Date Znir Final /O.P.
...." it
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
7/Z;0 ��
3
L
AGENT /OWNER
DATE
ADDRESS 7 0 S . Z 9 yL/
TELEPHONE #