HomeMy WebLinkAbout0001316-Building (siding) CITY OF OSHKOSH No 01 31 6
PERMIT - APPLICATION AND RECORD
TYPE: BLDG,HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING# ( L FLOOD PLAIN HEIGHT
et ADDRES � 1 3w ' r E°T E ( PLAN NO.
OWNER ' e-E-L , 4.(i cff._.-
DESIGNER
US /NATURE OF WORK S mac- Pall / 6-5:Yo4Adcz. gl / / (AJc O.,v.
ft-00 a (i r c.4_ 0-1 6,-1( Tip 41.--U rata rN vti1
v (1 `-(LI t b • J& C J (774 W 4 D Z.e)c S79/2A4A, ,
BUILDING CONTRACTOR �rir 64.30/...) 67 � (A4'( 4 ' 4 6
r r At ° (fix �`
Size " Sq. Ft. # Rooms # Stories o� Height //
Foundation Class of Const. 8 Occupancy Permit/ k / /
HEATING CONTRACTOR A/J/t/A
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR pd,✓
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Ala AX
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other •
FEES: Valuatio- 11. all' Permit Fee Paid $ 1, Park Dedication $ t i-1 4
ISSUED BY� ?_i�LT 41.14 Date q a 6 Final /O.P. •
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Q i i U / 8. Q - i'? - p
AGENT /OWNER DATE
ADDRESS 9 f ,9 ?/ - / /C
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