HomeMy WebLinkAbout0018986-Building (siding) CITY OF OSHKOSH N9 18986
PERMIT - APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS F3 /74 �r2fd L, PLAN NO.
OWNER 04 . i44 T -
DESIGNER
USE /NATURE OF WORK d • F. e -(,GI/
BUILDING CONTRACTOR I' .iL /Li /....,..,____ _ , ii /d_ ,vr�.lL_i
Size Sq. Ft. # Rooms # Stories ! 1 v Height
Foundation Class of Const. d 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
�oo �o-o ✓
FEES: Valuation $ Permit Fee Paid $ o'�0.00 Park Dedication $
ISSUED BY / a, , . ...G..., Date / /4 7i Final /O.P.
In the performance of this work I agree to perform all work rsuant to rules governing the described construction. ..
SIGNATURE r ef //S YQ
`� y} AGENT /OWNER r ATEE
ADDRESS L ( f � < < G L � !f 2'6 C9 V7 /
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