HomeMy WebLinkAbout0015406-Building (siding) CITY OF OSHKOSH N2 15406
PERMIT — APPLICATION AND RECORD
TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ( ge Zc€ J ` fr.Yz, G ,- PLAN NO.
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OWNER �l i l a Pt e 0 e(-K e
DESIGNER
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USE /NATURE OF W K < <� ..r': r C vz.. _ ' A / ' =4= i, t .%�
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BUILDING CONTRACTOR (ac9/4 e
Size Sq. Ft. # Rooms # Stories C 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
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FEES: Valuation `mod* / P m/' 'ee Paid $ ,� :::1tb0n1 $ /7)11MI
In the performance of this work I ag erform all work pursuant to rules governing the described construction.
SIGNATURE /^ /" f
AGENT /OWNER DATE
ADDRESS a .
S _'- - s S /, 2.'= 397,E
TELEPHONE #