HomeMy WebLinkAbout0034816-Building (roof & siding) /4/f
CITY OF OSHKOSH N° 34816
PERMIT — APPLICATION AND RECORD
TYPE: BLDG. —HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4F / (4 1 �/ ee-i L . PLAN NO.
OWNER /J P I a —V . e '
DESIGNER
USE /NATO E OF WORK r .J y, i .,.) L _, of , P I •
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BUILDING CONTRACTOR /6 _S 1/10
Size Sq. Ft. # Rooms # Stories ( Height
Foundation Class of Const. Occupancy Permit
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 ''+��
a uation P- r , Fee Paid $ /'%."--j ::tb0n ica $ ~'
ISSUED BY Pi' _ . .J Ai. % Date 7/; / r
/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE teiii.11i 11,.,...:7z, ....i 414/71.1-1 7- J z 4 3
AGENT /OW DATE
ADDRESS (9/5 4VIc 1`v" (JSIi 4h AJ, S 4 / j ? y
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