HomeMy WebLinkAbout0104891-Building (interior repairs)City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Building Permit Application
O/HKO/H
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~
JOB
I am the: [] Owner OR ~ Contractor
USE CATEGORY
~ingleFamily [2Duplex mMulti-Family F1Rental []Commercial rqlndustrial
Work being done: [] Addition
[] External Remodeling
[] Handicap Ramp
[] Sign/Canopy/Awning
[] Swimming Pool
[] Other
[] Deck/Porch/Patio
[] Fence/Hedge/Kennel
[] Hot Tub/Spa
[] Stair/Handrail
[2 Wrecking Permit
[] Driveway/Parking
[] Garage/Utility Structure
,~Intemal Remodeling
[] Stove/Fireplace
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
· :. Full description ofwork being done: ///~e4z fcAcv,~-~/~_<~,~/~ ~'~,¢~/'~/ ~-~n4~
Value of the job $
applicants.)
Any work not included in this application is not permitted.
~ ~'~ ~--]t 0~'i (Value for materials and labor is required to ensure consistency in accessing permit fees for all
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
N me:
Signature: ~/~nt)
Date:
3/02