HomeMy WebLinkAbout0016395-Plumbing (interior) CITY OF OSHKOSH N2 16395
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG `kr SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS WO 6 ni ,-fr PLAN NO.
OWNER 4'1.-■ 4 e. G, 7Z- X)
DESIGNER
USE /NATURE OF WORK (f x 4,14 f /14f/ p' p7yZa Z/fq
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 IC 7 c-3
___BT J___ WH Disp WSoft CBasin
1 Lav Sh A DW DF San. Sewer
-L WC _.7.__FDr SP Ur Storm Sewer
L Sink Lftsla Eject SS Water
Other
57
FEES: Valuation P E W Permit Fee Paid '?..3-6 i/ Park Dedication
ISSUED BY l °��e"d Y Date ef r Final /O.P. 4j" (2 to Qd
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
At
SIGNATU'y A. n C_ s cl
AGENT /OWNER DATE
ADDRESS
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