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Building Permit Application
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
www.oshkoshwi.gov
Owner /
Tenant
Name__________________________________________________ Phone___________________________
Address_____________________________________________ Email______________________________
Contractor
Company Name__________________________________________ Phone____________________________
Contact______________________________________________ Email_______________________________
Address__________________________________________________________________________________
State Credential #’s_______________________ , __________________________
Dwelling Contractor Qualifier # Dwelling Contractor #
Architect /
Designer
Company Name__________________________________________ Phone____________________________
Contact____________________________________________Email _________________________________
Address__________________________________________________________________________________
Permit Type □ Residential Single Family □ Residential Duplex □ Commercial □ Multifamily □ Industrial
□ Commercial to Residential
Category □ New □ Addition □ Alteration
Project
Description
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
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Mechanical
Permits
Separate permits will be obtained for the following:
Electrical by ________________ Plumbing by____________________ Heating by________________
Value of Job
$ ____________________ (Value for materials & labor is req. to ensure consistency in accessing permit fees for all applicants.)
Payment by: □ Check #__________ □ Cash □ Credit/Debit Card (office or online only)
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.
Name: _____________________________________________ (Please print) Date: _______________________
Signature: ___________________________________________
Applicant □ Owner □ Contractor □ Tenant □ Other (describe)__________________________________
Project
Address
________________________________________________________________________________________