HomeMy WebLinkAbout031466 - Building (siding) CITY OF OSHKOSH N° 31466
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6' 0 7, / pL. ia °ZC55'L
PLAN NO.
OWNER 9A„ t i
DESIGNER
USE/NATURE OF WORK /1-/�� ���
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BUILDING CONTRACTOR 4 /
Size Sq. Ft. # Rooms
# Stories Height
Foundation_ Class of Const. d
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
yr:0 Z /
FEES: Valuation $ 7/00 '0 0 Pegpit Fee Paid $
Park Dedication $
ISSUED BY fri#Z,AL.,- ,./.a4,0-7L..4.— Date /c)4-��`/ Z®
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE !Y/ t- C 4a-e.,,..4.,/
AGENT/OWNER
DATE
ADDRESS
TELEPHONE#