HomeMy WebLinkAbout0024692-Building (siding, windows & door) CITY OF OSHKOSH N°_ 24692
PE RMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �D 2 � �(� PLAN NO.
OWNER 4L.4..474-" 0_
DESIGNER
USE/NATURE OF WORK e0 4-4—o---, /9 �Z- o'v`^e �.v(� , )1.PiI.J
1- �
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories 3 Height /4
Foundation Class of Const. of 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 $ 1S 7 o Permit Fee Paid $ 70•o t7 7 Park Dedication $
ISSUED BY „ 9-14-4.-- - A..�c/(./i c --- Date V7 /7/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,.--). 0 Y - 5.c7/
AGENT DATE
ADDRESS • 4 hi ` _ ,_ ("If E! 3, - 0 ) a (o
TELEPHONE #