HomeMy WebLinkAbout0046455-Building (replace porch) l �/
n CITY OF OSHKOSH
N°_ 46455
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS f�0/ ✓uG�`-��4� PLAN NO.
OWNER�r/i� �' �l�/O� �A 11�<<���j P/lS-/�"/"
DESIGNER
USE/NATURE OF WORK � C d✓'
Rllll 1)W(� C(�NTRACT(�R /I C �?{'r r!%L
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Size E � 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
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FEES: Valuation $ u���- � Permit Fee Paid $ �,� �� Park Dedication $
ISSUED BY 6�%���---- Date�/��� Final/O.P.
In the performance of this work I agree to pertor all work pursuant to rules governing the described construction.
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SIGNATURE � `L ` %
AGENT/OWNER DATE
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ADDRESS � �G� � - j'�. v r t:�� t� �-� 3 7�'�j U
TELEPHONE•
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DATE�� Ir-I�� PERMIT #��5� USE �
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GENERAL CONTRACTOR �x l.� _ __ __ _ �
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MASON CONTRACTOR ZONE �
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Width of lot DATE INSP�CTIONS
�w�-G'l REMARKS ;
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