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HomeMy WebLinkAboutBuidingPermitApplication 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 ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 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 ________________________________________________________________________________________