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HomeMy WebLinkAbout0004729-Building (convert room to bathroom) /� CITY OF OSHKOSH N� 04729 `' PERMIT - APPLICATION AND RECORD TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �_ FLOOD PLAW�HEIGHT�/Y�— - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � - - - - - - - - - - ADDRESS �� � � 7 ,��� PLAN NO. OWNER � r °� DESIGNER USE/NATURE OF WORK _ k �–S� , � p � f I BUILDING CONTRACTOR �w�'1 c'� Size�_�� S Ft. ��� � , q• # Rooms # Stories r Height � Foundation C�ass of Const. 8 ` Occupancy Permi� HEATING CONTRACTOR �_ _ Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR_ �-�� �r�/�e� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR V O c�� �P�'`!'1/f f Lt '�Q' . —BT _WH _Disp _WSoft _CBasin —Lav _Sh _DW _DF _San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS _Water Other � oa FEES: Valuation P Fee Paid $ ��� Park Dedication $ ISSUED BY Date ��( "� � Final/O.P. In the performance of t ' work I agree to rform all work pursuant to rules governing the described construction. SIGNATU �.�--- � / �L�''�� AGENT/OWNER DATE ADDRESS �� C� � 3� ^�,�� TELEPHONE#