HomeMy WebLinkAbout0047769-Building (install 3/4 bath adjacent to kitchen) ��a
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� CITY OF OSHKOSH N°- 47769
P�RMIT — APPLICATION AND RECORD
TYPE: BLD t HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ l�Z-� /"[�r�v-r � /�, �
PLAN NO.
OWNER ��� r
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DESIGNER
USE/NATURE OF WORK �� ��' �K `F�c ( / GL �/ �Q� t � �
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BUILDING CONTRACTOR �Y��l° ,,�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 � � t� �c.� a P/�-
Electric Serv. New ❑ Change ❑ Temp � Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR e S k.c,cosSt°t�
_BT _WH _Disp _WSoft _CBasin
_Lav _Sh _DW _DF _San. Sewer :
—WC _FDr _gp _Ur _Storm Sewer
—Sink _LTub _Eject _SS —Water
Other
FEES: Valuation �� Permit Fee Paid $ � Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE ` J - ,
�G �IS - qs
AGENT/O R pA�
ADDRESS— I� o�5 I`►�r� I� 79'I� r �% 'Jr � �'O� �o
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