HomeMy WebLinkAbout0007464-Building (siding) CITY OF OSHKOSH N2 07464
PERMIT - APPLICATION AND RECORD
TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN ___151.,V HEIGHT
ADDRESS -- C - 1 --C-1 0 4. /Ct tl Cif;) __e____
PLAN NO.
OWNER vs L0. T''' v r-I L p sc./
DESIGNER ` �
USE /NATURE OF WORK_ c�. lime _ *` G/ / eNLA. Zc+ ( 1
BUILDING CONTRACTOR ��cf e.11.— L Af/� — G - - - '
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. t\ Occupancy Permit -
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts mps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRA
BT WH Disp WSoft -;.sin
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink _ LTub Eject SS Water
Other
FEES: Valuation % � . �O 4 am
�// / -rmit� aid $ Park Dedication $
ISSUED BY -1. .. :i _ .I Ate Date 2 -'2-e Final /O.P.
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In the performance of this work I agree to • - orm all work pursuant to rules governing the described construction.
SIGNATURE '%\ 0 ,...— ' _
AG T /OWNER � DATE DATE
ADDRESS \ C CC f\ �� }L� ,/N (1[ a
vac` TELEPHONE #