HomeMy WebLinkAbout0006084-Building (bathroom remodel) CITY OF OSHKOSH N° 06084
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /6' 0 4 l o
PLAN NO.
OWNER A ✓/1 r
,a
DESIGNER
USE /NATURE OF WORK A. S
i 4
M .e ms r
U Vice
BUILDING CONTRACTOR 'L 4'f- 1' P/l
Size .-S Sq. Ft. -4 Rooms Stories Height IS–
Foundation L 6 T Class of Const. Occupancy Permit r.,-/'�
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss
BTU'S
ELECTRIC CONTRACTOR ®4:
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR r
BT WH Di. WSoft CBasin
_Lax/ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
Water
Other
AIM
FEES: Valuation i i r j /Paid
�Paid Park Dedication
ISSUED BY /1'A�� Date i d '7 Final /O.P.
In the performance of this work I agree to -rform all work pursuant to rules governing the described construction.
SIGNATURE l`
AGENT /OWNER
l DATE
ADDRESS /-4‘-e, 7 2 2
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