HomeMy WebLinkAbout0040442-Plumbing (addn to #39340) V/
CITY OF OSHKOSH N 40442
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS P".:- 1, =A/ PLAN NO.
OWNER
DESIGNER
6,_,Azzr_.>„,,,,,,„,r_,_7 USE /NATURE OF WORK r 2- �.-/�C
ZY-7 K)
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 +=Z■
BT WH Disp WSoft C sin �J
.1Lav _L Sh DW DF San. Sewer
I WC FDr _SP Ur _Storm Sewer
Sink LTu Eject S Water
Other cam: e--32 -c
of
J
FEES: Valuation o
Permit Fee Paid Park Dedication
ISSUED BY Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 2 —O f e/
G n AGENT /OWNER DATE
S
ADDRESS S L' ,GLL 22i7�� 93D -co-0 ,/t TELEPHONE