HomeMy WebLinkAbout0045336-Building (siding, roof & windows) /y� :
� CITY OF OSHKOSH
N°_ 45336
`' PERMIT - APPLICATION AND RECORD
TYPE: BLD HTG_❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ;
ADDRESS �3/ � v r��-C<c�^ PLAN NO.
OWNER �r�CCc�4 s�r� �Y°Lt1 �
DESIGNER
USE/NATURE OF WORK � m �
� � �
BUILDING CONTRACTOR �a `L'P'—
Size 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: Valuation rmit aid $ � Park Dedication $
ISSUED BY Date � Final/O.P.
In the performance o ' work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � �
AGENT/OWNER ATE
ADDRESS ������
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