HomeMy WebLinkAbout012872 - Building (siding) .*
CITY OF OSHKOSH N° 1287
PERMIT - APPLICATION AND RECORD
TYPE: BLDG.. ‹..7-
HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT/
ADDRESS_ 6 7/ 7 7/-/-i". &1ewKac _
/' n / �'"' PLAN NO.
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OWNER f r`4 J L �G c.1 I`— -t—
DESIGNER
USE/NATURE OF WORK f c.----7- " _
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-■12 ap.-"•-• /a 411, U'frt 7 S;)/IC,
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4, 1„,..) —CU_c—1'cx._ . PI-49 Pt* P.-C-eC--- 64‘-'41 ...6,c,s-1 .-- '. J4
BUILDING CONTRACTOR °ri} 14 c 9--
Size Sq. Ft. # Rooms # Stories / -.----.--- Height
Foundation i` 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
FEES: Valuatio $ =•_Ia. � ,�er / Paid $ �� /
�►' Park Dedication $
ISSUED BY /// �:.4._� _L 4./.411/ Date � c��
Final/O.P._ 411
In the performance of this work I agree to .: •rm all work pursuant to rules governing the described construction.
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SIGNATURE /f/.- //_ � 44 `/ i ,�
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AGENT/0 `•317
17 1? W � DATE
ADDRESS V G:[,, }.(-4,, a �Z)
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