HomeMy WebLinkAbout0044921-Building (remodel kitchen) lyo
CITY OF OSHKOSH N ° - 44921
PERMIT — APPLICATION AND RECORD
TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS FDA / e t PLAN NO.
OWNER k el r'e Cn 42_ vtt r
DESIGNER /nJ /'/ / heft_ USE/NATURE OF WORK ST k r � -ode/ (L f I�c heft_ ®Jere es c L'kp7`S
c. 4,0...Y--cP 1 . -- o r-, O D C Piif / SQCk eeid( rent et-i . / /
BUILDING CONTRACTOR ./`'(C_ 1' T-hy 2rrcK c- Y t C1., 01 C
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit '0;9
HEATING CONTRACTOR i
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR C- LA /Trey
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR X'-..S -714. r' )ch
_ BT _ WH _ Disp _ WSoft — CBasin
- Lav _ Sh _ DW _ DF — San. Sewer
— WC _ FDr _ SP — Ur _. Storm Sewer
— Sink _ LTub _ Eject — SS — Water
Other
1
FEES: Valuation /��
Per j ee Paid $ Park Dedication $
ISSUED BY � - /i Date - ---- .0 • Final /O.P.
In the performance o work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE / # '.A&I J,e CS /
AGENT/OWNER DA
ADDRESS L F-� d 4 b o /(Fo-() C/ 1 -S-1-5/ 7
TELEPHONE #