HomeMy WebLinkAbout1991-Plumbing (lower level) CITY OF OSHKOSH N9 25624
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
/ 460 e ADDRESS PLAN NO.
OWNER F
DESIGNER
-./(--e—c.—e—
USE /NATURE OF WORK r 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 0,
BT WH Disp WSoft CBasin
// Lav Sh DW DF San. Sewer
—L WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ °° ' 0 Permit Fee Paid $ /°' 0 & Park Dedication $
ISSUED BY e.-3 Date re) r 3
,Y Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4 ' Z1-,4 #3/7)
AGENT /OWNER DATE
ADDRESS a3.3#97
TELEPHONE #