HomeMy WebLinkAbout0035099-Building (bathroom) j Yo
CITY OF OSHKOSH
N9 35099
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Z 3
A- e-- A i..,/ PLAN NO.
OWNER 0 6 r-- -1
DESIGNER USE /NATURE OF WORK ,PIL a e.z4
BUILDING NTRACTOR oNl7�/k—
Size Sq. Ft. Rooms Stories i Height
Foundation l ".B•L Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change 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 5!/v l7 Permit Fee Paid o O
l Park Dedication
ISSUED BY ,A4- 440z.,.-- Date �/z 7/j Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. e
SIGNATURE i i .f, 1 1
AGENT /OWNER DATE
ADDRESS
TELEPHONE
anal ADDRESS I
DATE PERMIT USE V cF
Work consists of .,G� -�e CJdc.G,p
GENERAL CONTRACTOR
MASON. CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
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Front of lot MAILING ADDRESS