HomeMy WebLinkAbout0022159-Plumbing (relocate sink & lav)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
22159
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
,2 .3 fC7
0_
I-~ ~--- g 'J'
6r
II.~ ~.~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 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
_FDr
_ L Tub
<!J!- ..-e--...-,.Yt-
o
_Disp
_DW
_SP
C-.0/<:-
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_ WSoft
_DF
_ CBasin
~
-L Lav
_WC
iSink
_ San. Sewer
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
Other
FEES: Valuation $ /'fC-6 0.0 D Permit Fee Paid $
L") /-Co-~~-'
II'
ISSUED BY
/ (.'} ._0-0
/ ~ ;V9/
/ /
Park Dedication $
Date
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURf4id_~
Al>cl~f1OWNER
DATE
ADDRESS
TELEPHONE #