HomeMy WebLinkAbout0000158-Plumbing (replace urinal, install sump pump) CITY OF OSHKOSH N2 00158
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG KSIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /2a / S• (1
'Ytarof•v PLAN NO.
OWNER 4 s eo _ - _ /liyr ._
DESIGNER
USE /NATURE OF WORK /t2if .1/ .5-1/-4.77/e) , /iN^^ p /Y /rC P
t .f,/,- -- i. 1 1,-. et,
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 /' t4../ -( GZ
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 $ 'Y ( _ /�
ermit Fee Paid $ 45 Park Dedication $
ISSUED BY / � Date d / /7�
/ � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE r _ �/`
AGE • ,' ER
DATE
ADDRESS
TELEPHONE #