HomeMy WebLinkAbout0001950-Plumbing (interior) CITY OF OSHKOSH N2 01950
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG At SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS a 0 /14 PLAN NO.
OWNER 6-; -C2 T r e l,k
DESIGNER
USE /NATURE OF WORK c r i� •2 ,i ,e .,..0Ain
I
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 l/ ,J
BT 4._. WH Disp WSoft CBasin
Lav --L Sh DW DF San. Sewer
3_ WC L FDr _L SP Ur Storm Sewer
i Sink I_ LT-bib --L Eject SS Water
Other
FEES: Valuation ,,,37od Permit Fee Paid 73 Park Dedication
ISSUED BY Date 1//74 Final /O.P. 11
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE atz z ,2---(4-)
AGENT /OWNER DATE
ADDRESS
TELEPHONE