HomeMy WebLinkAbout0039911-Plumbing (vanity) CITY OF OSHKOSH N ° - 39911
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /7 S
/ PLAN NO.
/
OWNER .i / A
DESIGNER
/ 1��1i�
USE /NATURE OF WORK ;�
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 0 6
- BT WH _ Disp _ WSoft _ CBasin
_L Lay _ Sh _ DW _ DF _ San. Sewer
WC FDr — SP Ur Storm Sewer
- Sink _ LTub _ Eject _ SS — Water
Other
FEES: Valuation $ 23` - cl 0 Permit Fee Paid /0 - 0 d
a d $ Park Dedication $
ISSUED BY Z Date ��9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4Z 6,-K. G A es qeqJ AGENT /OWNER E
ADDRESS I 'nl, 17 C S"T
TELEPHONE #