Loading...
HomeMy WebLinkAbout0004317-Building (bathroom remodel) /� CITY OF OSHKOSH N°_ 04317 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG t ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �(� � 1 � K GJ PLAN NO. �C C �� OWNER d' P S DESIGNER � � USE/NATURE OF WORK �\ � � � c �-��'�� u�a�� �`c� L �°� 7 dl ecu t�C f•c � p�v S' o c,cJr/� �19B�``lr�- � C.��TP . BUILDING CON�'RACTOR � t�/�— Size � � Sq. Ft. # Rooms # Stories Height Foundation Class of Const.� Occupancy Permit 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 � t PLUMBING CONTRACTO �- —BT _WH _Disp —WSoft —CBasin —Lav —Sh _DW _DF —San. Sewer —WC _FDr —SP _Ur Storm Sewer Sink _LTub —Eject SS _Water Other ����. °�' FEES: Vafuation - er ' Paid $��-�'�. �� Park Dedication $ ISSUED BY Date� ` �-_7` ` �� Final/O.P. In the performance of this work I agree to erform all work pursuant to rules governing the described construction. SIGNATURE � � ,s � � AGENT/OWNER D E � ADDRESS��3O � ��,� �Q¢ � TELEPHONE# �