HomeMy WebLinkAbout0012905-Building (siding) CITY OF OSHKOSH No 12905
PERMIT — APPLICATION AND RECORD
TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING R'.1 FLOOD PLAIN – HEIGHT__ _ .
ADDRESS Z 4/10 0 frO 14 P V--- Vc, PLAN NO.
OWNER /C ob't - ��^It� ' /44 kr .
DESIGNER (�'" / /
USE /NATURE OF WORK �r'cti �� f r �r�t r � ' U 7 ( f Gc ® ct /m t9� e 4-c--. 77 r, ? �
BUILDING CONTRACTOR t2 l`C v-- E, — � F C � ‘,...1..,
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Size Sq. Ft. # Rooms # Stories / Height
Foundation Class of Const. Occupancy Permit A. JV
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
U 0
FEES: Valuation $ ow, d pe r m " e Paid $ Park Dedication $ �---
ISSUED BY /1 /. 1r _,�4_ / Date /� /_ 1 Final /O.P.
1 %
In the performance of this work I agree t. / p rform all work pursuant to rules governing the described construction.
SIGNATURE ded72-st� . j
AG' NT /OWNER DATE
ADDRESS .',3 6 c=?c'c?" 7
TELEPHONE #