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HomeMy WebLinkAbout0048226-Building (bath remodel) ; ��i D CITY OF OSHKOSH N°� � 48226 � _ PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �O�O L • ,V C.�-✓ YC� �� PLAN NO. OWNER ��-��^ ��V�1 r� --�. DESIGNER S r � f� � USE/NATURE OF WORK _I -� .-,.. -• o \ � k���.`.-„� C .Lns}-,� I1 vl k � i �[� �-`,Jr �r ����h � ai�wn : '��u.v�_ �n C� `�.�' � ►n.�.w Z,fv� w� 11 ) — J - — BUILDING CON?'RACTOR I�1�� r r' Co f+� t Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const.� Occupancy Permit h C'i HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S � ELECTRIC CONTRACTOR r� L r � Electric Serv. New ❑ Change ❑ Temp � Type Volts Amps Fixtures Switches Receptacles Circuits �'.. PLUMBING CONTRACTOR � 7 +� 1�Ce. �� � —BT —WH _Disp _WSoft _CBasin —Lav _Sh _DW _DF _.San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS —Water Other / ' c�=� �� FEES: Valuation $�� Permit Fee Paid $ �� � Park Dedication $ ISSUED BY Date ��`�' � � —�`� Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE t, ,� ��-�3��S/ AGENT/OWNER DATE ADDRESS ��✓ /�� � G���, Z3G�-Z 2��o Gv�uc- ) / TELEPHONE M