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HomeMy WebLinkAbout37604 BLDG (Bathroom) i y�` N� 37604 � CITY OF OSHKOSH �' PERMIT - APPLICATION AND RECORD TYPE: BLDG� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS y��/ ��T� °�� PLAN NO. OWNER �lY�� � L'�.��,�/L��Dl�v DESIGNER ��`'� USE/NATURE OF WORK �'�E�nC������ `����/`��?�- � BUILDING CONTRACTOR �f�i��I f�t��1�-��•'S°/�r� 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 C�C..'�I�K�E Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps : Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ��'"�Y ���� —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 $ ��-'�'� Permit Fee Paid $ �J° Park Dedication $ ISSUED BY � L� 7 Date ! �} � Final/O.P. �� s In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATUR � `= `�_ —�� � � � AGENT/OWNER DATE � ADDRESS ��'-!``�����7�\� TELEPHONE N