HomeMy WebLinkAbout0047475-Plumbing (interior)
.Al~..
~.'
#~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
LI/O
N!!-47475
~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ ~ _ ~~B~ _~ _ ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ ,_ _ _ _ _ ~~I~~T_ _ _ _ _
Z 0 J D l-/ill'rJer3JJ If). Qi
flu S C'J h (!rms if (}c- c.h fJ h
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK {J X Itlres
Hila.l.ed ct- S.. C;!;
(;h
addJj;!;f) c/t; fMffYI1f
, .
'-I5~/5
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ~~ h(oe.der f f/ti nge n
_ BT _ WH ---L Disp _ WSoft
_Lav _Sh _OW _OF
_ CBasin
?-
_WC
_FOr
_ L Tub
_SP
_Ur
_ San. Sewer
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
/
FEES: valuatlon~ ~ee Paid $ I~ / . Park Dedication $
ISSUED BY P----4~ Date C<D -- '7 -- <; s--- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~
AGENT/OWNER
~ 8$-
/cJ -;? -fit:>
, DATE
ADDRESS
TELEPHONE #