HomeMy WebLinkAbout0035889-Building (siding & roof) CITY OF OSHKOSH N °_ 35889
PERMIT - APPLICATION AND RECORD
TYPE: BLDG A HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 9 41 1 rmescr4 PLAN NO.
G 0 OWNER SOS 1 n s L
DESIGNER c �l
USE /NATURE OF WORK V I n s k i[ V l 1 ,� f' V / Yl n- -) D &i c(
BUILDING CONTRACTOR MO L°
Size Sq. Ft. # Rooms # Stories 2 Height
Foundation Class of Const. g 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: Valuatio 000 'P M -: it Fee Paid $
■11 WI Park Dedication $
ISSUED BY �� .0k:1 Date O I Final /O.P.
A
In the performance of this work I • ee to
g perform all work pursuant to rules governing the described construction.
SIGNATURE ' / �'� �o 4 .0 / , , 7 _ , I ,G D / q
AGENT /OWNER
g / DATE
ADDRESS `A .. " / a ,f
4 . /2- s =8 5 . 0
TELEPHONE of