HomeMy WebLinkAbout01404 - Building (bathroom remodel) CITY OF OSHKOSH N2 01404
TYPE: BLDG ,,C HTG ❑ ELEC
PERMIT - APPLICATION AND RECORD
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El PLBG ❑ SIGN ❑ ZONING />/------ FLOOD PLAIN HEIGHT'/' !'
ADDRESS L 073 Ail LAU f•--; (- Ve,42,,,,,J),J ( e PLAN NO.
OWNER i tr"1!1!Z() ' ,__1: %_----i r. ! '" [ i,�-1,
DESIGNER , f
USE/NATURE OF WORK ,\1 I`(�.i` r�- �'y_.Vv■ t ((- f�6S(Qy.tiGC� f"�E' � ,F_- Y, e I-0'Q Q.'V1
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BUILDING CONTRACTOR --°"--'x-= '''-'
Size /._ Sq. Ft. ' # Rooms # Stories "" Height
Foundation Class of Const. G Occupancy Permit kJ%i ayw iLc17
HEATING CONTRACTOR,{''-'tJ --'
Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR " ,::,-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures — Switches Receptacles Circuits
PLUMBING CONTRACTOR f'4'L--'"
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation $k 40 Permit Fee Paid $ - L' Park Dedication $ AI /'
ISSUED BY `�.,..-A.!-,- f :z/rt.c t Date`/1—�'v Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.- (<---::::?:—SIGNATURE ( J / AGENT/OWN)1# DATE
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ADDRESS /6.V lCis R U` `�-1� TELEPHONE
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