HomeMy WebLinkAbout0036572-Plumbing (interior) N2 36572
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ,f SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 Vf
PLAN NO.
OWNER i ,t-vt-(
USE /NATURE OF WORK S i
i
BUILDING CONTRACTOR
Size Sq. Ft. Room 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 4- -e 1-
BT WH Disp WSoft CBasin
Lav Sh _L DW DF San. Sewer
i WC f FDr SP Ur Storm Sewer
Sink 6T -44b f C W Eject SS Water
Other
FEES: Valuation .2 6 3 0 _0 0 3 C o d
Permit Fee Paid Park Dedication
ISSUED BY i Date f V° 7 Final /O.P. J) 30/ 9'/
In the performance of this work I agree to perform all wor pursuant to rules governing the described construction.
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SIGNATURE Ita A,. At .....iIA LA...Alt
AGE /OWNER DATE
ADDRESS
TELEPHONE
ADDRESS G/� Plasm PERM= APPLIC.CTIO
OWNER DATE iO 7 3
NATO of WORE 4/$/ a PLDi�►g S¢ i RAT# 34 1 7,z
AN RELAY REPAIR BRIO$
WAILER
v _mil Bath
g :o tener ar D SPE um n
L siak(0ther Drinkin• Fountain
tS a y S lo. Si 3 Floor Drain Tr
�9 ...._11111 ease Trte
Laundry Tu. Local Waste
Dis.osal Site Drain
Dishwasher/ Laundr Stand.i.
Al" law
4 r,jj� ir ii Catch asi e