HomeMy WebLinkAbout0000010-Building (fence) CITY OF OSHKOSH No 00010
PERMIT - APPLICATION AND RECORD
TYPE: BLD9KI,, HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING f FLOOD PLAIN 44 HEIGHT __
ADDRESS54 /29WGIZ3 PLAN NO.
OWNER G+LL L VJW, 4/4 c 3 5 - Zg
DESIGNER
USE /NATURE OF WORK 5I _FT — 54) /FS / 0L�"%I.JC.e` �' /CJGtTr
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BUILDING CONTRACTOR f5
Size Sq. Ft. # Rooms # �j�S�tories Height
/ <5C D (
Foundation Class of Const. OD Occupancy Permit v
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
O
FEES: Valuation $ Permit Fee Paid $ ""' QQ // :: 1 : 1tb0n Deca $
ISSUED B Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A
U E /
AGENT /OWNER ' TE
ADDRESS
TELEPHONE #
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