HomeMy WebLinkAbout0041536-Building (siding) CITY OF OSHKOSH N 41536
PERMIT - APPLICATION AND RECORD
TYPE: BLDG g HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS
q:9 / 10m2DE -37 PLAN NO.
OWNER LARf bilA) /Uf e %AK
DESIGNER
USE /NATURE OF WORK 64—F/C) /1(.CJ/14r 77at / ARoo,L46 /4& OOAJ
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BUILDING CONTRACTOR OC O/Ug<
Size Sq. Ft. # Rooms # Storied Z Height
Foundation Class of Const. g Occupancy Permit /w
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
- Lay _ Sh _ DW _ DF ._ San. Sewer
__WC _ FDr _ SP _ Ur — Storm Sewer
Sink LTub Eject — SS _ Water
Other
::: atbohl Permit Fee Paid $ Park Ddition $
= � /�� Date 7 eM Final /O.P. ..---
In the performance of this work I agree to ) all pursuant to rules governing the described construction.
SIGNATURE
, p
9
C(' 'j I AGE T /OWNER DATE
ADDRESS ? L 1 1 / / i ' (223/ 5/7 S
L TELEPHONE #