HomeMy WebLinkAbout0019722-Plumbing (laterals) CITY OF OSHKOSH N° 19722
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 5'243 PLAN NO.
OWNER c /4.,-
DESIGNER �+ �` / 1 ..J
USE /NATURE OF WORK J S�—d�t�ry._ �.L., �
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 -.-, -- (J Q-,,
- BT WH Disp WSoft CBasin
- Lav Sh DW DF / San. Sewer j"
WC FDr SP Ur / Storm Sewer i ll C
Sink LTub Eject SS Water / r r L —c.c.
Other
l‘S 0.00 cy .�o .
FEES: Valuation $ P ermit Fee Paid $ 3 Park Dedication $
ISSUED BY (-4- --+� _ � Date V 3/73 0 ` /5 46
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 9 - 3/ - 9 b
AGENT /OWNER DATE
- MESS
TELEPHONE #