HomeMy WebLinkAbout0019400-Building (siding & windows) CITY OF OSHKOSH N2 19400
PERMIT - APPLICATION AND RECORD
TYPE: BLDG R HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS cP2' 7 ) / i9''t4t.e./ PLAN NO.
OWNER
DESIGNER
/ ��
USE /NATURE OF WORK �_i., _, %- i_tt,i L_ i _ . Ait -#.1 �
BUILDING CONTRACTOR 64:6, e,toe,ke Or Aix, .91770 , 1406
Size Sq. Ft. # 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
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 $ , O 0 • 0 0 Permit Fee Paid $
iVr-4c- Park Dedication $
� ISSUED BY
Date - 7/ 03 /c ' ° Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '271 7''/-- 9 d
AGENT /OWNER DATE
ADDRESS - 55--;"9 3 Ye
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