HomeMy WebLinkAbout0008042-Plumbing (bathroom remodel) CITY OF OSHKOSH N° 08042
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SST SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /7;-9 �fl
4 4(
PLAN NO.
OWNER �'1� f
DESIGNER
USE /NATURE OF WORK A
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 p Circuits
PLUMBING CONTRACTOR A� G
____/BT WH Disp WSoft
CBasin
4 Lav Sh DW DF
San. Sewer
WC FDr SP Ur
Storm Sewer
Sink LTub Eject SS
Other —Water
FEES: Valuation /J pia
Permit Fee Paid Park Dedication Am* 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 6 I 06.1 r AGENT /OW
DATE
ADDRESS
TELEPHONE