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0006232-Building (bath & kitchen remodel)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 06232 TYPE: BLDG'~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING C-.3 FLOOD PLAIN Out' HEIGHT ,AI I A- ~~~~E~~ - 4~~- - - - (~ ~ ~-~ - - - -~~~.- -4;~ - ~~~-~-s- - ~~.- - ~L~~ -N~.- - - - - - - - - - - OWNER gq-l;VJAB fp....oPIt.!L-'7l ~,5 DESIGNER 7 USE/NATURE OF WORK T We ~ \ '-'1 ~-I DroJCI<- ~ il-:PML k:-rCbi I ~7'+ (5'Al /~r h-cx.:>fL {Jr>r: (sD4 JAuiLS A~) i tUb {;dA>tA ~ OC--OS..{O I"J Z IS ~() 8!J ()Nt S Size OWA.J~ Sq. Ft. # Rooms _+ Class of Const. # Stories #~ ''Z-Height Occupancy Permit ,;(J6rlt(fl)!tX f.) BUILDING CONTRACTOR Foundation HEATING CONTRACTOR A JOt'J~ Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR '7 Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_' Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR Ccs M117t-f _Sink Other _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _BT _WH _Sh _ San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water ISSUED BY Permit Fee Paid $ Date I fo if , 1- /2 -fl:;, Park Dedication $ Final/O.P. JJ(A- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 0d 7 ~L ADDRESS -9":3S- ~,;:= ,,&~ ~d/fl' DAy{ ;2 33-- WJ:Y TELEPHONE #