HomeMy WebLinkAbout0018658-Building (siding) CITY OF OSHKOSH N° 18658
- PERMIT — APPLICATION AND RECORD
TYPE: BLDG ,ttd HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 2 7 ' 63'//'e-i- PLAN NO.
OWNER ? &-e.."1/4,x
DESIGNER
USE /NATU - OF WORK
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BUILDING CONTRACTOR (✓
Size Sq. Ft. /l O !y # Rooms # Stories / Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR __.
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
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Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR z
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation $ 4R O Od �ermit Fee Paid $ lv -- Park Dedication $
ISSUED B Date ,,, 2) L c7 Final /O.P.
In the performance of this work I agree to perform all work pursuant ;o rules governing the described construction.
SIGNATURE . .2 j AGENT /OWNER ` A TE J
ADDRESS A") 7 _ 1d _ , . / � „�� '4/c2G -
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