HomeMy WebLinkAbout0045796-Plumbing (interior)
~.
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
4/0
N~ 45796
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~'SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS ~O~[) \"\LlX1{e.rS -p \
OWNER (' .fi.V'l~ (L1. (j l ( l\f\.JVU' ~--Iy( 1 -4.+ . E 1/4 L
DESIGNER
USE/NATUREOFWORK --6-lIy,{uAP-d ir1 (}dnl.-{~Cm c/o fJe/~
:::tfr ''11/ III r7
PLAN NO.
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type _ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR .Sf Xvi ~ Qr
.
~
UiCl~~
-
_BT _WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink L L Tub _ Eject
Other
_ WSoft
_DF
_ CBasin
C-
_Ur
_ San. Sewer
_ Storm Sewer
_ Water
_SS
;i
FEES: Valuation ~0 ~~d $ 1('). to) 0 / ~ark Dedication $
ISSUED BY ~ Date a '~1: c -7 -> Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUREM~ )?~ ~
. ""''''0.''''' - cr
6-:Jo-?'r
DATE
ADDRESS
TELEPHONE #