HomeMy WebLinkAbout0010982-Building (siding) CITY OF OSHKOSH No 10982
PERMIT - APPLICATION AND RECORD
TYPE: BLDG.HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS G oo c f. P-pP SE PLAN NO.
OWNER
DESIGNER
/
USE /NATURE OF WORK t _d r _ . / fI _
_ 7 r
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BUILDING CONTRACTOR , £ e
/
rt
Size Sq. Ft. # Rooms # Stpries Height
Foundation Class of Const. Occupancy Permit O
7 'S 3 7 C.t ct.er
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 gr Per�d Fe :,:1tb0n1 ca $ r"------ - , 1 ISSUED BY 11,41 M1r,. 4
-. , / � Date / " `r
.
In the performance of this work I agree to p- m all work pursuant to rules governing the described construction.
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SIGNATURE _ ,A" .fir /6 6 - �0 " kJ/
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AGENT/OWNER DATE
ADDRESS S / 3 C- /e ( e°-42 Q `( U 1 q , r).. 33 3 " ('- 7/
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