HomeMy WebLinkAbout0030300-Building (remove siding) CITY OF OSHKOSH N° 30300
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 3 q ) . 2 . 0 7 - 1 PLAN NO.
OWNER t l, t
DESIGNER
USE /NATURE OF WORK /d hp-44/ cz-e b L#% Th )
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Air,
BUILDING CONTRACTOR 6 I//
Size Sq. Ft. # Rooms # Stori / , -- Height
Foundation Class of Const. v Occupancy Permit MO
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: �,
EES: Valuation $ / t Permit Fee Paid $ (0' 0 0 Park Dedication $
ISSUED BY D ate r /219/ Final /O.P.
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In the performance of this work I agree to • - •orm all work •ursuant to rules governing the described construction.
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SIGNATURE /` JAIDAili144dell FAC,,`l z-
AG:,� NER
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DATE
ADDRESS
TELEPHONE #