HomeMy WebLinkAbout0020621-Building (siding) CITY OF OSHKOSH N°_ 20621
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 4 HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 ,v- )77/7z441-e._ PLAN NO.
OWNER-- �.?11
DESIGNER '' // do -e-A_ USE /NATURE OF WORK )1. V( ` w J f d tt
BUILDING CONTRACTOR Oeie,t'u ./�f f,'h.P
/
Size /�‘ Sq. Ft. # Rooms # Stories / Height
Foundation Class of Const. F Occupancy Permit A/
6 '
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: Valuatio))n //$ o 2S 3 S Permit Fee Paid $ coy 0 0 Park Dedication $
ISSUED BY 1 X. A,C.aL cam-- Date /0///7 a Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE f `
(,� AGENT /OWNER /L �(A_ ^1 DATE
ADDRESS L9, 7‘-k L ` ` O 0` 333 - 3S - 9
TELEPHONE #