HomeMy WebLinkAbout0002954-Plumbing (lav)CITY OF OSHKOSH No _ 02954
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ 20NING FLOOD PLAIN HEIGHT
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ADDRESS~1L~ /~/P PLAN NO.
OWNER (~ . ~ C,~./1~ E-~Lr?~~,~-~.~-
DESIGNER
USE/NATURE OF WORK i("~r//' Cam' ~~/U~-'~~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms # Stories
Class of Const.
Height _
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat. Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT -WH
Lav - Sh
WC FDr
-Sink LTub
Other
Volts Amps
- Circuits
c Pig.
Disp
- DW
- SP
-Eject
- WSoft
- DF
- Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
Water
~' am..
FEES: Valuation $ ~ ~ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ~-- ~ Final/O. P.
In the performance o^this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ACitN I/VWNER
ADDRESS
DATE
TELEPHONE #