HomeMy WebLinkAbout035218 - Building (siding) CITY OF OSHKOSH
N° 35218
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS A5-6 3 )7iir Kj4l'7$ 4/ PLAN NO.
OWNER /COY-C. A/
DESIGNER
USE/NATURE OF WORK I / _441 �L-'--r-, / ,�_ G?^', ,t '��/ , tt/�,�C_
r::: �'t-it
BUILDING CONTRACTOR �/d t ,ate-/
Size Sq. Ft. # Rooms # Stories 2-
%%%% Height ��
Foundation Class of Const. 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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
0" 5( ° /4 V
FEES: Valuation a. _°- - - Permit Fee Paid $ Park Dedication $
ISSUED BY 1:-.74.--,/ ,‘azl.✓z� Date 7/3Z`1 3 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE L ? O F_3 T/OWNER DATE
ADDRESS ( ? ° G C G t ti nY!/3/1 4. O .J 1:11(0 S./-{ Z /-?/ (F'-
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