HomeMy WebLinkAboutRoofingSidingPermit
Roofing, Siding & Windows Permit Application
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
www.oshkoshwi.gov
Project
Address
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Applicant □ Owner □ Contractor □ Tenant □ Other (describe)__________________________________
Owner /
Tenant
Name__________________________________________________ Phone___________________________
Address_____________________________________________ Email______________________________
Contractor Company Name__________________________________________ Phone____________________________
Contact______________________________________________ Email_______________________________
Address__________________________________________________________________________________
State Credential #’s_______________________ , _____________________ , _________________________ Dwelling Contractor Qualifier # Dwelling Contractor # Building Contractor Registration #
Permit Type □ Residential □ Commercial
Location □ House □ House & Garage □ Commercial Building □ Accessory Structure
Project
Information
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 ad ditional permits
to be obtained. I acknowledge and agree to these terms.
Name: _____________________________________________ (Please print) Date: _______________________
Signature: ___________________________________________
Roofing: Siding: Windows:
Tear off all layers:
□ Yes □ No
Replace roof decking:
□ Yes □ No
Current Siding Material:
□ Vinyl □ Wood □ Steel □ Concrete
□ Asphalt □ Stucco □ Other
Number of Windows: _______
Window Type:
□ New Opening
□ Replacement Same Size & Location New Siding Material:
□ Vinyl □ Wood □ Steel □ Concrete
□ Asphalt □ Stucco □ Other