HomeMy WebLinkAbout0031174- Building (kitchen remodel) CITY OF OSHKOSH N° 31174
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG D SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .,PoN`, PLAN NO.
OWNER lei/ p.forrir.y
DESIGNER i � –/
USE/NATURE OF WORK / /`` /� e' ve-'o &.� .i GC L!GC!/!— ni,(A) f
Aueli (6,79-1, /
BUILDING ONTRACTOR /3..„01"%--v /-3
Size Sq. Ft. # Rooms # Stories / Height
Foundation f' o Class of Const. U Occupancy Permit li
HEATING CONTRACTOR
Heat ❑ A/C 0 Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp 0 Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
—BT _WH Disp _WSoft _CBasin
-Lay _Sh DW DF San. Sewer
-WC _FDr _SP Ur _Storm Sewer
-Sink _LTub _Eject SS _Water
Other
FEES: Valuation g o ' 10J Permit Fee Paid $ . , :: ti0n
$
/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C ( D— j"--
NER DATE
ADDRESS` J`/ // Owl ap 5S sf /
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