HomeMy WebLinkAbout0022776-Building (siding) CITY OF OSHKOSH N2 22776
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 37-V At- • PLAN NO.
OWNER " Zt1,;e4,,a/ (e,,19 1 L t6."-
DESIGNER
USE /NATURE OF WORK /�' - Z ra.G. ..,■, :. / 30
_ i %J/ < t 0
/
BUILDING CONTRACTOR p '�
Size Sq. Ft. # Rooms # Stories -7— Height ��
Foundation Class of Const. Occupancy Permit /" 4
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 / i 000..03 Permit Fee Paid $ 7 v Park Dedication $
ISSUED BY Date SIM' / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/
SIGNATURE -- - %1Ii r y -/ - 9i
2 -- GkN 'OWNER DATE
/
ADDRESS D � -. ' i / - 5 - O) 0 6
TELEPHONE #