HomeMy WebLinkAbout0003959-Building (siding) �,
/� CITY OF OSHKOSH No 03959
`' PERMIT — APPLICATION AND RECORD
TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN� HEIGHT�J.LLL
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ADDRESS ��� c°ri'�t �- PLAN NO.
OWNER��CLu,� �s �/���>`
DESIGNER
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USE/NATURE OF WORK �� � c � ,
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Sro �T �^ � £ "—�—r!k✓l�
BUILDING CONTRACTOR� � �° .��C' ��Prr oo"�'
Size Sq. Ft. # Rooms # Stories Height
Foundation c �o�r� �- e� Class of Const. � Occupancy Permit '`�"
IC� /� �� �C�C� �1
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
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Other
FEES: Valuation rmi Paid $ ��� �� Park Dedication $
ISSUED BY Date �/ ' v � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR � �d���a�'� �`—/ �' �7
AGENT/OWNER DATE
ADDRESS � � Z �� y� !/S�!`- ° S (� �Z,��` !�Y��
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