HomeMy WebLinkAbout003955 - Building (siding) CITY OF OSHKOSH
N2 03955
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,.• I A PLAN NO
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OWNER (r' aWI Zt CtvP1'_
DESIGNER
NATURE OF WORK _ t I p"�, V ? ')(
BUILDING CONTRACTOR +.j ._, at_P 1–"' _
Size"d X 22- Sq. Ft. # Rooms # Stories / Z Height
Foundation S'40yt t° Class of Const._4,_ 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
�° /� VI
FEES: Valuation/$ 69.f� 'I'r Pedrt Fe- /,,: $--____a Park Dedication $
ISSUED BY =�//l / / Date "
� p arkm �� Final/O.P.
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In the performance 24'this work I r p- R1 all w rk pursuant to rules governing the described construction.
SIGNATURE l /
/ j AGE /OWNER
DATE
/ .4/ (
ADDRESS / J
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