HomeMy WebLinkAbout0002586-Plumbing (laterals) CITY OF OSHKOSH N o 02586
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 33 / /l'! cf\--"-- PLAN NO.
OWNER X9O -v Xv��'L. S'e+L,
DESIGNER
USE /NATURE OF WORK u .... -t. ark U w
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 2 - 0 -4 - �/u -+: 1„
BT WH Disp WSoft CBasin
Lay Sh DW DF — San. Sewer
WC FDr SP Ur Storm Sewer
—Sink LTub Eject SS Water
Other
FEES: Valuation $ /Dp co ---- Permit Fee Paid $ /° / Park Dedication $
ISSUED BY_ _ Date f( - Final /O. P. l'e/v' -' c/o,/
/ O --S(e ..t_
In the performance of this w I agree t. .erform all work pursuant to rules governing the described construction.
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SIGNATURE t A. �
, ��� .._vim
A ENT /OWN DATE
ADDRESS
TELEPHONE #