HomeMy WebLinkAbout0029338-Building (siding) CITY OF OSHKOSH N° 29338
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 22- Z PLAN NO.
OWNER l./..
DESIGNER , /
USE/NATURE OF WORK viz 77.E (V # l � % / ■ 5
BUILDING CONTRACTOR 4
Size Sq. Ft. # Rooms # Stories / Height
Foundation Class of Const. O Occupancy Permit /O
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: Valuatio 5��0 .0 Permit Fee Paid 3o , 0 0 V
$ Park Dedication $
ISSUED BY z.--- Date (9/2_3/Y 2.-- Final /O.P.
In the performance of this ork I agree to perform all wo pursuant to rules governing the described construction.
SIGNATURE - .alh A —....-....r4Or A • ., A _,_ 4
-•-fr- CANT /iT NER DATE
ADDRESS / ('(l / s ,57 L 3
�'/'� % ELEPHONE #