HomeMy WebLinkAbout0034382-Building (roof & siding) CITY OF OSHKOSH N2 34382
PERMIT - APPLICATION AND RECORD
TYPE: BLDG lYT HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4'2 37 f �
PLAN NO.
OWNER Lie /94-4lt4
DESIGNER
USE /NATURE OF WORK /�� � ii. , i ,
Q /
BUILDING CONTRACTOR (/L'd72C/f'
Size f' `f X e 9 Sq. Ft. # Rooms # Stories Z Height
Foundation Class of Const. k Occupancy Permi
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 $ ( -C - 60 , 0 v Permit Fee Paid $ (�` i'
Park Dedication $
ISSUED BY //F4 , i_ _ _ _ __ �P
MEW
. Date ,03 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE }wA'_C e / ' q3
AGENT /OWNER 0
DATE
ADDRESS
TELEPHONE #
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