HomeMy WebLinkAbout0008155-Building (siding) CITY OF OSHKOSH N° 08155
PERMIT - APPLICATION AND RECORD
TYPE: BLDG TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ?.5 6' E''t _s o Gt Y� PLAN NO.
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OWNER ` U S /► o g.
DESIGNER �1
USE/ • TURE OF WORK J (` �.%' / / r / / /
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SARWMrAMIVAIIIIMIIIIINV
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BUILDING CONTRACTOR PC .14 D 1
Size Sq. Ft. # Rooms # Stories ( Height
Foundation Class of Const. _P _P ` 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: Valuation '.,, /I. •ermit j -'_Paid $ e elo Park Dedication $
ISSUED BY 4� 3 1IF , / r Date 6 —fr' 7?
In the performance of this work I agree - ., m all work pursuant to rules governing the described construction.
SIGNATURE GL -// 6F
AGENT /OWN R DATE
ADDRESS 2 c & - S , ` 1 1 -- `it c. • (➢L c, t ` 0/e1 G
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