HomeMy WebLinkAbout0003331-Plumbing (lav & sink) CITY OF OSHKOSH No 03331
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /> /217/ PLAN NO.
OWNER r �
DESIGNER
USE /NATURE OF WORK /Yw /l o f r 7l w c
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
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
4 Y>
FEES: Valuation $ Permit Fee Paid $ 0 Park Dedication $
ISSUED BY r" / -a� Date I/6/e? Final /O.P. 3 Y /mil
In the performance of this work I ree to pert. m all work pursuant to rules governing the described construction.
SIGNATURE 47 1 A 1 1
AGE T /OWNER DATE
ADDRESS
TELEPHONE #