HomeMy WebLinkAbout0045617-Plumbing (toilet)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
4/0
N! 45617
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS /-l'J 0 J-I / a II ff v E
OWNER_D E N tJ IS E: ~C":H WII73
PLAN NO.
DESIGNER
USE/NATURE OF WORK ~ EPLAC ED TD! LET
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type
Volts _ Amps_
Circuits
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR -5i':pr 'i<~ m U'S,R eh
_ BT _ WH _ Disp _ WSoft
_ CBasin
?---
_Lav
Lwc
_Sh
_FOr
_ L Tub
_OW
_SP
_OF
_San. Sewer
_ Storm Sewer
_Ur
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $ ~;9<~~~~d $
ISSUED BY ~ Date
I'
f) ^~ ,/'
I · \.:.lU Park Dedication $
/1 Y 2.-- 9~<---
(&;>, ~ >" t'./ - Final/O.P.
? 'I ~5'
In the performance of this work I agree to perform all work pursuant to rules governin th described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #