HomeMy WebLinkAbout0022882-Building (siding) CITY OF OSHKOSH N° 22882
411Clov PERMIT — APPLICATION AND RECORD
TYPE: BLDG re HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /9p. 5' J7'`-- PLAN NO.
OWNER </G ".47.9 -6 4 a
DESIGNER
USE /NATURE OF WORK- - db ) /-teal " -D-f1, 4.7 ,// 2(4 - .0(- 6.Gli(04
BUILDING CONTRACTOR aV 4.44/
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Size ��5i q. Ft. # Rooms # Stories -2- Height
Foundation " (261`,"------ Class of Const. r Occupancy Permit _ Ae2
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 / 9a o O 0 Permit Fee Paid $ / S 4' o Park Dedication $
ISSUED BY �� Date 9P/A Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ..Ili / L .
-Y----. 7/
AGENT /OWNER DATE
ADDRESS
TELEPHONE #