HomeMy WebLinkAbout0020512-Building (new dormer & windows) /� CITY OF OSHKOSH N° 20512
,`' PERMIT - APPLICATION AND RECORD
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. TYPE: BLDG �f HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ��� � �Z �� �� PLAN NO.
OWNER (LL.�G��-Q•s7'` (/V.,.�ic�(/`�'�
DESIGNER
S'Fl2� fi�-,� "_ '
USE/NATURE OF WORK�L� .C/(�v�'u� �/nG�fid !.v-fil�-�'����
BUILDING CONTRACTOR������%�ti :
Size 2 Sq. Ft. # Rooms 7 # Stories Z Height
Foundation Class of Const. � Occupancy PermiY�Q
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 $ �r�0' � Permit Fee Paid $ ��•� ` Park Dedication $
ISSUED BY ����• — Date���9° Final/O.P.
In the performance of this work I agr perfor II work pursuant to rules governing the described construction.
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