Loading...
HomeMy WebLinkAbout0003664-Building (siding) /� CITY OF OSHKOSH No 03664 �' PERMIT — APPLICATION AND RECORD � TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN��""'° HEIGHT�f� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_�`��� �" " ���v r'� PLAN NO. OWNER VNr{�L.df� ��'_'� C 1<-�m G, DESIGNER USE/NATURE OF WORK ^� f � � !{ r !h 'f"ti r ' � � � T BUILDING CONTRACTOR ��� �'� Size �x'7� Sq. Ft. ��-d� # Rooms # Stories Height Foundation Class of Const.�— Occupancy Permit HEATING CONTRACT 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 �Basia. _Lav _Sh _DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other : FEES: Valuation � mit id $ .��~ � Park Dedication $ ISSUED BY Date -� `�g ^-�� Final/O.P. In the performance of this work I agree � orm all work pursuant to rules governing the described construction. c/ �� /,� � SIGNATURE - / �u' � � �-� � AGENT/OWNER DATE ADDRESS�����j?����/� �y�C`� �������� TELEPHONE#