HomeMy WebLinkAbout0033628-Building (kitchen remodel) ��� �
/, CITY OF OSHKOSH N°_ 33628
�' PERMIT - APPLICATION AND RECORD
TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT �
ADDRESS ��� � � `�
PLAN NO. �
OWNER�/�"� �l/!'L�(
DESIGNER
USE/NATURE OF WORK � � • � t �
�
BUILDING ON7RACTOR (L(� •
Size Sq. Ft. # Rooms # Stories Z Height
Foundation Class of Const. � Occupancy Permit �
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S f
�
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
/
FEES: Valuation $ 5���' � J Permit Fee Paid $ / ��v � Park Dedication $
ISSUED BY ��"�� /.(�-�/.�'GC�^" Date � � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER OATE
ADDRESS
TELEPHONE#