HomeMy WebLinkAbout0035563-Building (siding & family room) N
CITY OF OSHKOSH N ° - 35563
PERMIT - APPLICATION AND RECORD
TYPE: BLDG N HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2- `k Fo /i'� G PLAN NO.
OWNER tie
DESIGNER " " A
USE /NATURE OF WORK -c�I�v � L ib �+iyt
( L
BUILDING CONTRACTOR D 744 " 74 t 4
Size 12- " Z Sq. Ft. (''/ # Rooms / # St ries l 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 $ 3 Z-o o ∎ d 0 Permit Fee Paid $ �� f o a Park Dedication
p� $
ISSUED BY `1,(��/e�� Date C1`/ 3 Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE -/t. • _
AGENT /OWNER DATE
ADDRESS q 26 y 2 3 7
TELEPHONE #
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2480 Minerva e thRMllb St
v Oshkosh, WI 54901-1546
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