HomeMy WebLinkAbout0018426-Building (siding) CITY OF OSHKOSH N° 18426
PERMIT - APPLICATION AND RECORD
TYPE: BLDG `Z' HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS
11140 _
v w eN-S PLAN NO.
OWNER (o N I KKe ■ i -
DESIGNER
USE /NATURE OF WORK _ / /"rt - f s . k-�
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G fCA_ r , - . 0
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BUILDING CONTRACTOR s i bll r tO • t r^-(
Size Sq. Ft. # Rooms # Stories l �� Height
Foundation Class of Const. SS 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 $ X11, . Pe j, Fee Paid $ ✓
Park Dedication $
ISSUED BY !/_ -.4, , . , - ./. , Date �'� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE,.. - C A/ �/✓ Q
GE /OWNER
T
I p
ADDRESS 3/ A . I - A I.; ` r 51/ / 3 �7Q (
DATE
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