HomeMy WebLinkAbout0031684-Plumbing (laterals & sump pump) CITY OF OSHKOSH N° 31684
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG It SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 g 5 - PLAN NO.
OWNER _1) 6 - /
DESIGNER
USE /NATURE OF WORK LLa.....e....-e , -i---- .-z..-e-e.--70/..e......-
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 e-+-
Airg-
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr f SP Ur ` Storm Sewer r t�
OV
Sink LTub Eject SS Water
Other
FEES: Valuation $ / 2 m ° a Permit Fee Paid $ / a C�/ Park Dedication $
ISSUED BY 002 Date /// 3
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
1
SIGNATURE Oe., 67
*62 AGENT /OWNER TE
ADDRESS 132h P0,. Ls 4 2)S—tr7Y3
TELEPHONE #