HomeMy WebLinkAbout0030762-Building (siding & windows) CITY OF OSHKOSH N°_ 30762
PERMIT - APPLICATION AND RECORD
TYPE: BLDG] HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 1 6 0 !"f / PLAN NO.
OWNER /Z4 ` € /
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t
DESIGNER
USE /NATURE OF WORK i` )/- -2G() 4 .1.{ / 1 1 ;:de.,:
rt ....„) Axial-0-c( .7i--.-Ez--,i," t f , .. tr e."„Aetztfr-1-- - ,
H .,.. ) rte. . / 111-A-1 - -
BUILDING ONTRACTOR 6d& ...7 P
Size Sq. Ft. # Rooms # St 'es 1 Height ,
Foundation Class of Const. 0 Occupancy Permit N d
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp p 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
FEES: Valuatio. $ t / O O D t 0 O Permit Fee Paid $ /' S Park Dedication o $
ISSUED BY 1 41/"Y� V(49 Date Z
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE= %x X12:
AGENT /OWNER DATE
ADDRESS
TELEPHONE #