HomeMy WebLinkAbout0010650-Building (siding) CITY OF OSHKOSH No 10650
PERMIT — APPLICATION AND RECORD
TYPE: BLDG XC HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING r 4 FLOOD PLAIN ak HEIGHT_&A.
ADDRESS 47 Ail 1 Lc t
PLAN NO.
OWNER C 4s °` y1 -(SCJS - Zoo (-,J. C IA. Avg_
DESIGNER / �^^
USE /NATURE OF WORK Si NLC 1 G_ �x <!� (�Jc / ,eci 1: c� 1 ® /itlG G'�� / J?�fi`
-.- 6' l 4 c (1 dam- S 0 F e T rr4s C 1.4 Z-4 44 C.,J 1 // D 6I 414) .. (NV
BUILDING CONTRACTOR ' 1 KIRC_+r� (2-00 Yu
Size Sq. Ft. 17 C0.3 # Rooms # Stories 1 Height
Foundation Class of Const. 1 8 Occupancy Permit/' 1 4.-Qtal-40
HEATING CONTRACTOR AJ JAI'
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR / J 0N<,
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR iLi 0 ✓
- BT WH Disp WSoft CBasin
Lav _ Sh DW OF' San. Sewer
WC FDr SP Ur Storm Sewer
- Sink _ LTub Eject SS Water
Other
i
4 . N,D /
FEES: Valuati f �� Pe rmit Fee Paid $ C� Park Dedication $./A !l ISSUED BY _ -- / �.1,.. Date f - a7� �� Final /O.P.
In the performance of this work I agree to perform all work p ursuant to rules governing the described construction.
N /
SIGNATURE _I /
_ 1— i/ . _
AGENT /OWNER DATE
ADDRESS JJ ®TS a', ' 0/7 S� ,,.?33 - „OS h
TELEPHONE #