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HomeMy WebLinkAbout0021691-Building (remodel kitchen) /� CITY OF OSHKOSH N°_ 21691 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� � /�` � �� PLAN NO. OWNER /!/6��`"� � o c_� DESIGNER USE/NATURE OF WORK �� �� � � r�-G�.c°u- " e ,S/ e,� a S l— et s ci!ct�� 02- c / �l l ! !' ,L�L BUILDING CONTRACTOR �Ct � P�pli`r�G — Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit,�n ' HEATING CONTRACTOR �-------�- Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �e C . �1`' ��-- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING C�NTRACT�R P`Oc : BT _WH _Disp —WSoft CBasin —Lav —Sh —DW DF —San. Sewer WC FDr _SP —Ur Storm Sewer —Sink _LTub —Eject SS —Water Other r-- -� : FEES: Valuation P r Fee Paid $ Park Dedication $ ISSUED BY Date � �7 Final/O.P. In the performance o this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE `�- � UI���"'"" �I Io1'1 nl G AGENT/OWNER DATE ADDRESS o�33�����So� C��1,kos� w�Sc a-3�- s $� �. TELEPHONE#