HomeMy WebLinkAbout0006086-Building (bathroom remodel) CITY OF OSHKOSH N2 06086
PERMIT APPLICATION AND RECORD
TYPE: BLD TG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS �`4 P
��I� N NO.
OWNER d ��r:.� i,L■ _ice
DESIGNER Ilk IF
USE /NAT RE O WORK
i
BUILDING CONTRACTOR
Size ,�c� Sq. Ft. Rooms
Stories Height A
Foundation Class of Const. Occupancy Permit/Z./L./
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
AIM
FEES: Valuation ��;.��i/
Park Dedication
ISSUED BY 40 1i i r/1r Date /2 F '-r
Final /O. P.
In the performance of this work I ree to pert4rwork pursuant to rules governing the described construction.
SIGNATURE V y
AGENT /OWNER /9/!
DATE
ADDRESS 'v co 2--- 7'
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