HomeMy WebLinkAbout0015486-Building (siding) CITY OF OSHKOSH N9 15486
PERMIT — APPLICATION AND RECORD
TYPE: BLDG' HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS (.f� Ageg=107 /10 ti C--e9 tie PLAN NO.
OWNER OCOG. 7 a f Z' tg P-I/`'Q
DESIGNER / � `
USE /NATURE OF WORK `�� /! ; ,. f V�ot 'ca�� i r �a
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BUILDING CONTRACTOR k ix E c TAN.
Size Sq. Ft. # Rooms # Stories / ff Height Q
Foundation Class of Const. B Occupancy Permit " —�
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Los BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ji se 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
iaal .-- i
FEES: Valuation //� / Pe/it F�' ° . id $ Park Dedication $
ISSUED BY /% ._ _ , W_ _ __ 4 ...' . Date 9 (1- Final /O.P.
In the performance of this work I agree to p:- m all work pursuan: ;o rules governing the described construction.
SIGNATURE 14( AGENTIOWNER
`7r C
)��cc DATE
ADDRESS ° /6 6 5 ,4 "S_ in
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