HomeMy WebLinkAbout0044999-Building (siding & windows) iy/
CITY OF OSHKOSH N ° - 4499
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS i&--a cry /um es 6 TA PLAN NO.
OWNER 22E eAR C V
DESIGNER
USE/NATURE OF WORK C-CFK) 1 /■_ i AU- U j /..) Lit_ , Al ..L:Y
F►i rAsGI. r L1 01
1 "pCdeiCnABv� Li---1 k-iDoc� V,t i S .
BUILDING CONTRACTOR TROy LA Poi t
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 Seer. 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 , 5' 0. Permit Fee Paid $ 3s a Park Dedication $
ISSUED BY A 9 —, 'F ' - Date S //? / 9
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Ni f SIGNATURE i
5---
` f /7
,D AGENT /OWNER DATE ADDRESS / 1 A) i'` `)-r 44.24--5a3
TELEPHONE #