HomeMy WebLinkAbout0041070-Building (kitchen remodel) / ~Z
~ CITY OF OSHKOSH N~ X1070
`' PERM T -APPLICATION AND RECORD
TYPE: BLDG~HTG ^ EL
------------------- ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ ~ PLAN NO.
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OWNER h
DESIGNER
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°
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USE/NATUR OF WORK t
QG
L
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t h. ~ l t
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BUILDING CONTRACTOR ~
Size Sq. Ft. Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fu I/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Chan e ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~ -~
BT _ WH _ Disp _ WSoft - CBasin
Lav _ Sh _ DW - DF -San. Sewer
- WC _ FDr _ SP - Ur -Storm Sewer
-Sink _ LTub -Eject - SS -Water
Other
FEES: Valuation ... P r it Fee Paid $ ~ Park Dedication $ `~-.,
ISSUED B Date ~ `~ Final/O.P.
In the pertormance of this work I agr a to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ~' .. / J ~-' ~ ~/
AGENT/OWNER pA~
ADDRESS ~ ~ t
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o~c3 ~ ' ~ J ~ ~
TELEPHONE ~