Loading...
HomeMy WebLinkAbout0009614-Building (siding & windows) � CITY OF OSHKOSH No 09614 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN- - - - - - HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �` � � w � � .� /�u��� PLAN NO. OWNER / � f� '�" " `-"e 1 �'�/f�� DESIGNER � �–� � . USE/NATURE OF WORK �' � � f l`� fc /� /' � t� c' �l r `� � BUILDING CONTRACTOR `�� � � Size Sq. Ft. # Rooms # Stories �� Height Foundation Class of Const.� Occupancy Permit_�!Z!� 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 —Lav —Sh —DW —DF —San. Sewer _WC —FDr —SP —Ur Storm Sewer —Sink —LTub —Eject —SS —Water Other FEES: Valuation � Per i e Paid $ '7 �� � Park Dedication $ ISSUED BY Date�� � ���� Final/O.P. In the performance of this work I agr e o perform all work pursuant to rules governing the described construction. . SIGNATURE • � AGENT/OWNER ATE ADDRESS �- OS� ' �U/ ��`��X�� TELEPHONE# ��