HomeMy WebLinkAbout0008030- Plumbing (remodle) CITY OF OSHKOSH N® 08030
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG1 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 /(, / +� PLAN NO.
OWNER / ‘ f Z / LC/2n 4714-fr-/.
J
DESIGNER
USE/NATURE OF WORK �171-Lld
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 -/ l�4�7
iBT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
•
FEES: Valuation $ C! — Permit Fee Paid $ !-i(/T) Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE d ,'"' N ,4
AGENT/ NER DATE
ADDRESS
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