HomeMy WebLinkAbout0025248-Building (siding) CITY OF OSHKOSH N2 25248
PERMIT - APPLICATION AND RECORD
TYPE: BLDG'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 Yp C,tJ t( 5
J' PLAN NO.
OWNER b K t1 r C 1 1 4
DESIGNER y rr p—
USE /NATURE OF WORK Dce 4 /0 / „ �r'r.y
� ` / S /r /� / p 4. , •
v eit4 VAI -E. C; j r • r k .ItA ft
BUILDING CONTRACTOR lrh,v.14-
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 6 Occupancy Permit
. — p p.
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
.► ..__1
FEES: Valuation . A' V ermi� -: - Paid $ Park Dedication $ ''
s
ISSUED BY •� .. _ - `.` A. Date Final /O.P.
In the performance of t is work I agree to - erform all work pursuant to rules governing the described construction.
SIGNATURE �.–∎4■1%-■� ` 9_6
``- AGENT /OWNER
DATE
ADDRESS
/ � l Q
• / 44/1/ � v �' Z��i !N -e 3 "'4 / 96
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