HomeMy WebLinkAbout0028348-Building (siding & windows) CITY OF OSHKOSH N° 28348
PERMIT - APPLICATION AND RECORD
TYPE: BLDG.TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3 /- /"/ 0 v[. ,"mC PLAN NO.
OWNER ZC 4'. 1 /4 el
DESIGNER
USE /NATURE OF WORK Y . . ! F c e 4 GUi(oLp6Q 419 -1
BUILDING CONTRACTOR A. tQ e c_ K--3
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 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
FEES: Valuation
////,, +� i1i►� Perm' Fee Paid $ — C) Park Dedication $ �-
ISSUED BY if 7 A L_/ Date — ' -- T 1/ ' 72_ Final /O.P.
In the performance of this work 1 agree to erform all work pursuant to rules governing the described construction.
/Qs/ �-/ — "J
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� �J/� AGENT /OWNER DATE
ADDRESS -- --�--' S , f�/ Ca �—�fr
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