HomeMy WebLinkAbout0011608-Building (porch roof) Cli--) CITY OF OSHKOSH N2 11608
PERMIT - APPLICATION AND RECORD
TYPE: BLDG /% HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 7 1 /7 — ` 4 /' PLAN NO.
OWNER tr2 .‘,X1---1-4--•P-Ze_. ,
DESIGNER
USE /NATURE OF WORK P -itral / - L
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BUILDING CONTRACTOR - )1-- t
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. LL/ Occupancy Permit /VG
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 $ ' Permit Fee Paid $ Park Dedication $
ISSUED B " / / /.' `os Date �� 'c Final /O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE A���
, A GENT /OWNER DATE
/ 315q- ADDRESS 315q- "C /, / , 7- 1 ( ‘.
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