HomeMy WebLinkAbout0022806-Building (siding) CITY OF OSHKOSH N° 22806
PERMIT - APPLICATION AND RECORD
TYPE: BLD1 HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /% o J. PLAN NO.
OWNER E`S'N / 12 -e-
DESIGNER
USE /NATURE OF WORK L∎, - _/ . 4�
6 Gj -G-X
BUILDING : NTRACTOR � -G fcii4104:
Size -.d?at Sq. Ft. # Rooms # Stori l /12,-- Height
Foundation Class of Const. Occupancy Permi
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: Valuation $ , 00 Permit Fee Paid $ 3S Park Dedication $
ISSUED BY / lf' Date OA/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE t ' -' 3
(� � AGENT/OWNER DATE
/
ADDRESS / 2- ' I - �''�✓ P v,-,1-4 2, 3 2 30 C
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