Loading...
HomeMy WebLinkAbout0017279-Building (bath remodel)~ CITY OF OSHKOSH N°_ 17279 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ~ q / ~ti ADDRESS ~ ~ ~ G~CJ •, ~ C_v ~_ PLAN NO. OWNER . ~ oc ~ L° ~ --~C ~Gu ~r~ BUILDING CONTRACTOR Size ~ Sq. Ft Foundation # Rooms # Stories Height Class of Const. ~ Occupancy Permit _~~ HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Fixtures Switches Receptacles Amps Circuits BTU'S PLUMBING CONTRACTOR ~o BT WH Disp WSoft CBasin Lav Sh DW DF -San. Sewer WC FDr SP Ur Storm Sewer -Sink LTub Eject SS Water Other ~O r---- FEES: Valuation er ee Paid $ ~~ Park Dedication $ "" ISSUED BY Date Final/O.P. In the performance of this work I agree to erform all work pursuant to rules governing the described construction. ~ 2v ~C SIGNATURE AGENT/OWNE'R DATE ADDRESS ~ ~ 7 w. W ~ vS`J~oSN 2-~S-7~Z 7 TELEPHONE # /~/c~w ~; x i v o-r S- i-r4 a .s v ~~ t7l~tidER ~~+-eve L e_ ..S~~t / 1'`..~..~ DAIS~/~% 2 ^ ~~i%!- ~4- pERnsT ~~,~.a G~E~ COb1TRACTO~ ~2-i Ct~iTA8C1~DR Z~ ©~1S atidt2~ o~ lot O ~' Y O .~ w 0 r y d 0 O 3~~ / y ° ~ ~" f0 ~-' Pow ~'flry DATE .~.~ ADDRESS fv37 G~ (o ~' ~'`~ t~SE o~',G~-- 1~D'7Ck co is to ot~~c2 ~ ~~~~ ~ L L~ /N1Sl~ A..G .4 ~ /6~'av5 z i u a~~ ~N ~ /~!, Lc..coo ~ . INSPECTIONS FOOTING FD'1N sLAB ~~ BACRFILL /~:~5 STRUCTURE GY ~.... lsopt of lot