HomeMy WebLinkAbout0002158-Plumbing (laterals) .1.1-1-)1. CITY OF OSHKOSH No 02158
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG pj SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 2 6e- � )■■ CI' PLAN NO.
OWNER /"`ri'l /:4,J:
DESIGNER /
USE /NATURE OF WORK = _ �� _ . _ . /St
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 7� Cam- d'C 74
BT WH Disp WSoft CBasin / !gy y� "
Lav Sh DW DF San. Sewer `� p
WC FDr SP Ur Storm Sewer
l,
Sink LTub Eject SS Water l 4 —
Other U
FEES: Valuation $ (r d7.) Permit Fee Paid $ Park Dedication $
ISSUED BY c ryr,—r Date / c i ,.; Final /O.P. / - Yc
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
7 ) -..r
SIGNATURE ---. /L:�,�.,—. .
A T/O NER DATE
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ADDRESS
TELEPHONE #