HomeMy WebLinkAbout022565 - Building (replace porch and stairs) CITY OF OSHKOSH N°_ 22565
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG El ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS /7,)- / $-� v-11�' d�'t'' PLAN NO.
OWNER 3.27/2-1 0,..e�.-ere-1 =
DESIGNER (/
USE/NATURE OF WORK „I & -c.i f a-ltd 4 , �� - iad
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Bit-eta Ae- , - C,,% � 4s- eC er,e--
74_0_4( , --7-c--1-7( .
BUILDING CONTRACTOR 7-ze k `- "
Size Sq. Ft. # Rooms # Stories Z Height ry
Foundation Class of Const. !� Occupancy Permit l
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: Valuation $ /2-v e 0 0 Permit Fee Paid $ / `C) v Park Dedication $
ISSUED BY ( �4�'�r 9 Date 3//r19/ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ` /114,,(4,;,,., y _� am__
AGENT/OWNER DATE
ADDRESS
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