HomeMy WebLinkAbout0045367-Plumbing (laterals) CITY OF OSHKOSH
N2 45367
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //CS . ,,, a �` P N NO.
-� =�'
OWNER fa rsr". ...'
DESIGNER /
USE /NATURE OF WORK /(, S/ - 0 --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 P- / =
— BT _ WH _ Disp /WSoft _ CBasin
- Lav _ Sh _ DW — DF i San. Sewer l 7L �
- WC _ FDr _ SP _ Ur / Storm Sewer ,r /I �•
- Sink — LTub — Eject — SS _L Water `.
Other
FEES: Valuation $ 743'° ` O a Permit Fee Paid Q " O Park Dedication $
ISSUED BY________ Date 6 " /' 2' Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0044.0. c d/ • ' 6 //Z ! 5
7 /
AGEN ER D ATE
ADDRESS /! / p /G k C / saJ`O ' GI ,4• 926— G Z.S '' (�
TELEPHONE #