HomeMy WebLinkAbout0036937-Plumbing (laterals) CITY OF OSHKOSH
No 36937
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /0 6-5 L � N PLAN NO.
OWNER
DESIGNER `/ /�
.... e...,.... 2 ..,.., ‘,..
USE /NATURE OF WORK N s0�. ` 6
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /- V
BT WH Disp WSoft CBasin
Lay _ Sh DW DF L � San. Sewer 7 6 J c
r /
WC FDr SP Ur ._ Storm Sewer / tic
Sink LTub Eject SS L Water
Other
FEES: Valuation 7 a O d o
on $ Perm Fee Paid $ 3 � d Park Dedication $
ISSUED BY Date / /// �9 3
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
C /
SIGNATURE - r 0.
AGENT /O . R
DATE
ADDRESS
TELEPHONE # •