HomeMy WebLinkAbout029946 - Building (new siding) CITY OF OSHKOSH N9 29946
PERMIT - APPLICATION AND RECORD
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TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS_____ 0/ e. -�� 9Y PLAN NO.
OWNER__41
DESIGNER
USE/NATURE OF WORK /7*' 'dam //Z.l(/d2,04
LLc1 1 -a `Yw
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BUILDING CONTRACTOR -=' tip-"(
Size Sq. Ft. # Rooms # Stories r/Z" Height
Foundation '/
fj n (.!:3Z1 c- :f 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: Valuation $ `t'o'c Q• C G Permit Fee Paid $ p� �r0 d J Park Dedication $
ISSUED BY id7b,t- er,Cra Date 77 /iq Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE cam`?
AGENT/OWNER DATE
ADDRESS
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