HomeMy WebLinkAbout0038365-Plumbing (shower) CITY OF OSHKOSH N 38365
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG' SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3A1/ A 4a 4a t PLAN NO.
OWNER /jf2
y bvivroo/L.,
DESIGNER
USE /NATURE OF WORK G� GC -n 11,4i9 I
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR —1 1ta 1 D A
BT WH Disp WSoft CBasin ,i7 Lav _L Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation /0 "U Permit Fee Paid /0 0 Park Dedication
V ISSUED BY Date _3' 'T "9" 1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A.,dul.:
AGENT /OWNER DATE
ADDRESS J
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