HomeMy WebLinkAbout0014977-Building (siding) CITY OF OSHKOSH N° 14977
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 93 z- A of -l°4,; "...S PLAN NO.
OWNER 0 l° e__j` I 1 4_. GL r
DESIGNER
USE /NATURE OF WORK _ �_. - .f s.-c r / P S rd 8. T t. /- : p
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BUILDING CONTRACTOR A. r s , . QSXLrZ S 'l
Size Sq. Ft. # Rooms # Stories / Height
Foundation Class of Const. U 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 .+ al �' - -r '. a Paid $ ~ coo i Park Dedication $
ISSUED BY � i iii,
/._ ,_ _ i j Date .I° . Final /O.P.
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In the performance of this work I agree t. •-rform all work pursuant to rules governing the described construction.
SIGNATURE e■LiC 7 �(,,4e I
G ENT /OWNER 4011 D E d
ADDRESS ._ r_ _ / , .1LE / ■ ■i . O 0
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