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HomeMy WebLinkAbout000404 - Building (repair and replace siding/roof) CITY OF OSHKOSH No 00404 (0) PERMIT — APPLICATION AND RECORD TYPE: BLDG 71 HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING At* FLOOD PLAIN 40(-)7.- HEIGHT_ , 4 ADDRESS /'l/'l 4/ /4/(4"/".) PLAN NO. OWNER W ft-t/iN �',4 iE - if 235 Spa U DESIGNER /��n /� USE/NATURE OF WORK ,c/c1- 66-- 74�/G ' r�/� $r7iJ .zier:E- /4s ,U ,0 .4.. Jt,ei.>63. 1 / 2/ & i'te-' -" 4,.ci;A 4-r I-�j e4A4 az' BUILDING CONTRACTOR e264-4,-,b72" Size Sq. Ft. # Rooms # Stories -2— Height Alt � C- Foundation -- Class of Const. 'e t2 Kg Occupancy Permit HEATING CONTRACTOR iteii--) Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR laill -'/.AJA-JEd.- SILL ,-. 64-4/1- /N�,1e C ( j?a - Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /NW- ae1/4-1 ._ -Ia. / -tidG c/A— . t7 & 2 7OS BT .—WH —Disp _WSoft —CBasin Lay —Sh —DW —DF —San. Sewer _WC _FDr —SP _Ur —Storm Sewer _Sink —LTub —Eject —SS _Water Other O FEES: Valuation $ -doof, Permit Fee Paid $ /O. Park Dedication $41� ISSUED el -41114-.1... �-�.. Date 1-, 'e-4=> Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. c SIGNATURE 40.;^-- 9, AGENT/OW DATE ADDRESS. - TELEPHONE#