HomeMy WebLinkAbout0047668-Building (siding) CITY OF OSHKOSH
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PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1111 —) P %n ag S vkc., PLAN NO.
OWNER 9"'L r �,`k. 3
DESIGNEFE
USE /NATURE OF WORK S Y'• / 'Lr 4-- I I Yk,W 5�c-c \ lj --.∎ ✓
BUILDING CONTRACTOR L.) e...64...
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 'a Occupancy Permit .- 1
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
�� ° ° e....--____., FEES: Valuation $ COO
Permit Fee Paid $ 3 Z7 Park Dedication $
ISSUED BY 102 Date (d ""- -//—`?'‹ Final /O.P.
In the performance of t is work I ree to orm all work pursuant to rules governing the described construction.
SIGNATURE ji 1 ' ' �
$ii' AGENT/OWNER DATE
ADDRESS 7t6 5=0 fei C
TELEPHONE #