HomeMy WebLinkAbout0008036-Plumbing (bathroom remodel) CITY OF OSHKOSH N° 08036
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /f au l8 G/J/ dL� PLAN NO.
OWNER /LPL Z r/ da.,
DESIGNER
USE /NATURE OF WORK Mt
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 41,14,
A BT WH Dip WSoft CBasin
.av Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
c.1"---- C
FEES: Valuation Permit Fee Paid �(/Y -r'v� Park Dedication
ISSUED BY Date Ea rp- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE %'e�
NT /OWNER DATE
ADDRESS
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