HomeMy WebLinkAbout0007197- Plumbing (Bath Remodel) CITY OF OSHKOSH N° 07197
CIII) PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9V// /1 " ` PLAN NO.
OWNER / • i� 'l!ihen—(
DESIGNER /
USE/NATURE OF WORK A11)Q�/rPj��rt C�
BUILDING CONTRACTOR
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
PLUMBING CONTRACTOR `__:cr---171 OLIS
--l—BT WH Disp WSoft CBasin
j_Lay Sh DW DF San. Sewer
L WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
aatc______ /
FEES: Valuation $,-���— Permit Fee Paid $ 9 Park Dedication $
ISSUED BY Date a//9/-� Final/O.P.
In the performance is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE DZ__, / '7'--° c== ...22-; T I
AGENT/ WNER D%
ADDRESS
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