HomeMy WebLinkAbout0048463-Building (siding) ii
CITY OF OSHKOSH N ° - 48463
PERMIT — APPLICATION AND RECORD
TYPE: BLDG 14 HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ) ( v ■ {'I 1u5ike, S- , PLAN NO.
c am "
OWNER — ' -j C__r o -
DESIGNER .---~
USE /NATURE OF WORK t r oC /' C.,,, ,,, ' /1
BUILDING CONTRACTORd" ‘-'1-sa C
Size Sq. Ft. # Rooms # Stories ( Height
Foundation Class of Const. 8 Occupancy Permit n to
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
00
FEES: Valuation $ i4 ) ° Permit Fee Paid $ �s Park Dedication $ �„,
ISSUED BY �1:, Date '279e9 '279e9 14 '7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A v 0/(
AGENT /OWNER DATE
ADDRESS
TELEPHONE #