HomeMy WebLinkAbout028459 - Building (new soffit and facia) CITY OF OSHKOSH N° 28459
PERMIT - APPLICATION AND RECORD
TYPE: BLDG )K HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 4- _ 1 .l77 ///,/, /. C c5-t- PLAN NO.
OWNER >/; cc/ {,[//
DESIGNER ` J /�/
USE/NATURE OF WORK /� �/-� Cf� /C. CGl t / /� c. c "//%'C rk-
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BUILDING QONTRACTOR /C' �`� Lu' � %
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Size !.�"/J Sq. Ft. # Rooms # Stories / ' T Height
Foundation✓
Class of Const. (=Y Occupancy Permit 4-°
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 $ `.--( e ' �'c) Permit Fee Paid $ c �C. '/
Park Dedication $
ISSUED BY i2 r C G c Date -) /7/7 1---- Final/O.P. /(r r'
Final/O.P. � � _Z
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE / ' i--l�%�✓`---cl2G"�.""-ry'--��/
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
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Width of lot____ OAT¢a* ixSPec'fioNs
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