HomeMy WebLinkAbout0008156-Building (siding) CITY OF OSHKOSH No 08156
PERMIT - APPLICATION AND RECORD
TYPE: BLD HT ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (/ ■3 Q r� 10 "S 0 fl • -- i f--. PLAN NO.
OWNER • _dark _ • /i/ r
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DESIGNER
USE /NATURE OF WORK r ' I % a__ r r / < /i► ice. �- ..- -- / - -i ,
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BUILDING CONTRACTOR L _- e'--!'L
Size Sq. Ft. # Rooms # Stories / Height
Foundation ( - C _ Class of Const. (` Occupancy Permit
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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
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
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FEES: Valuation / IP 0 term//- Paid $ i ara / :::1tb0n1 ca $
ISSUED BY 01 vi _Apr Date • e ll — 6S
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In the performance of this work I a e a •-rform all work pursuant to rules governing the described construction.
SIGNATURE '. .S // ` ,er'd
AGENT /OWNER DATE
ADDRESS 6 S - ` / G ,.)`-S - ` U /O‘
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