HomeMy WebLinkAbout0045792-Plumbing (addn to #42507) CITY OF OSHKOSH N 45792
0 PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN
ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 0 W1 r Lard_) aia PLAN NO.
OWNER ip.A., 1�Y 10
DESIGNER
USE/NATURE OF WORK 41./44 (.IA ,e-4 (/J2 n 5/ 7 /u?4.7/-J2,41 yz So'7
,64/Trit...eo.(;( (o Z2 -g5
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 3.0 .t4-LPl._p A., 14 .0 iri 0 e°k
BT WH L Disp WSoft CBasin C
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 5 o v Permit Fee Paid /0. 001 Park Dedication
ISSUED BY /11111111 .0 0 Date 6 T 5 Final/O.P. 4'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE •og AF" 30 fff
AGENT /OWNER DATE
ADDRESS
TELEPHONE N