HomeMy WebLinkAbout0007190-Plumbing (addition) CITY OF OSHKOSH N° 07190
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 2f, SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 /3 (A /7 7€7j-■ PLAN NO.
OWNER M ■i 1/
DESIGNER
USE /NATURE OF WORK 4 /L, ,7Yi 1 cup‘
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 2. /5
4_ BT WH Disp WSoft CBasin
2 Lav _1 Sh DW DF San. Sewer
-2.wc FDr SP Ur Storm Sewer
__Sink LTub Eject SS Water
Other
1
FEES: Valuation (3752). Permit Fee Paid Ar Park Dedication
ISSUED BY Date lP/
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /is- o""
AGENT /OWNER 1
DAT
ADDRESS
TELEPHONE