HomeMy WebLinkAbout0000193-Building (siding) CITY OF OSHKOSH N2 00193
PERMIT - APPLICATION AND RECORD
TYPE: BLDG -1TG ❑ ELEC 111 PLBG ❑ SIGN ❑ ZONING ■, FLOOD PLAIN, 0 HEIGHT_a_A
ADDRESS //' . •Z` 5 ice.'_ PLAN NO.
OWNER_____ ") 411 r r a ''
DESIGNER
USE /NATURE OF WORK _ (....t. FM/ IL y / e- Al g7 ,,Vc CVefL
£k65 T(Af- J ii / J( CA/ U a (. (/,41 /AA S /7 /rv"t�
BUILDING CONTRACTORi/G!/rAv 4‘,..i-f. 0� 64 t),M ' v c J 4
Size Sq. Ft. # Rooms # cQ Stories / Height
Foundation Class of Const. U Occupancy Permit rJU/
HEATING CONTRACTOR /00/like
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR /Cj
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps r
Fixtures Switches Receptacles Circuits
•
PLUMBING CONTRACTOR /WA/
- BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
- WC _ FDr __SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuati v' ( I Permit Fee Paid $ a V Park Dedication $ N Z4-
ISSUED BY ,2102/ Date 6-19144 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE <// _ , ,L _, � b -19— u 4
A : NT/OWNER DATE
ADDRESS I / 7.55 GZ ,Nee....-' ai 5 ) .
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