HomeMy WebLinkAbout0031560-Building (siding) � CITY OF OSHKOSH N° 31560
PERMIT — APPLICATION AND RECORD
TYPE: BLDG�, HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS 1 ��� W !�
PLAN NO.
OWNER �1/�S �rAY�I� � L � �P II� '
DESIGNER
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USE/NATURE OF WORK � s I I'�}C..L �I N � � I �� /V G O IV� �
�Uc�'�q —� a
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BUILDING CONTRACTOR Cl L C L
Size r�P Sq. Ft. # Rooms �
# Stories Height
Foundation 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
—Lav _Sh _DW _DF _San. Sewer
—WC —FDr _SP _Ur _Storm Sewer
—Sink _LTub _Eject _SS
—Water
Other
FEES: Valuati � �O C) � � d L.�.
ermi Fee Paid $ Park Dedication $
ISSUED BY Date 1 ���O�� Z-- Final/O.P.
In the performance of this worl gFee to perform all work pursuant to rules governing the described construction.
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SIGNATURE q�
AGENT/OWNER l
A E
ADDRESS i ^ /
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TELEPHONE# '