HomeMy WebLinkAbout0016924-Plumbing (toilet) CITY OF OSHKOSH N°_ 16924
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /O a 1 ? t/ PLAN NO.
OWNER .40, ..../i- 7
DESIGNER
USE /NATURE OF WORK r�� .0 -•
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 / /ei�.
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
t/
FEES: Valuation $ Permit Fee Paid $46
4-ti'
Park Dedication $
ISSUED BY Date / ,O " j Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE a �69,, t_ArriA.; f l ''D
EN17 NER / Il DATE
ADDRESS
TELEPHONE #