HomeMy WebLinkAbout0044908-Building (siding) CITY OF OSHKOSH
N9 44908
PERMIT — APPLICATION AND RECORD
TYPE: BLDG 14- HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 36 / v' LL gl.
PLAN NO.
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OWNER C..C`Ve -/-2../4&.)K
DESIGNER I /
USE/NATURE OF WORK (9) / r N 51 (/ /AJ ye_ s itt..
721/v1 Z 1- (,J'tom) CAS (X55 acyj Z o0FiRl-Pf' -6 / to
Av ( MUM ,
BUILDING CONTRACTO — 7::1 �A t rte [► 'r/&Oa�
Size Sq. Ft. # Rooms # Stories (9 Height
Foundation Class of Const. __ _ Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Sew. 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
Se
FEES: Valuation /O • Permit Fee Paid $ �0 . —
. � � _ Park Dedication $
ISSUED BY - ��t ,iL Date -b 1 KA 9� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
i SIGNATURE I 0 c r
AGENT I
DATE
ADDRESS ,JVYLt.,r f Y-. 2 3 / 8`015 1'
TELEPHONE #