HomeMy WebLinkAbout0011338-Plumbing (city rehab) 4.), CITY OF OSHKOSH Wo 11338
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Rt SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /..2/ j 1�
PLAN NO.
OWNER /Z.--e,7-ij
V
DESIGNER
USE /NATURE OF WORK ei re 6I 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 ' J < 1 / <. 7-yze BT —L WH _ Disp _ WSoft CBasin
4 Lav _ Sh _ DW _ DF _ San. Sewer
i WC — FDr _ SP _ Ur Storm Sewer
Sink _ LTub Eject SS Water
Other
oro
FEES: Valuation $.2_&10 ' fee Paid $ 0 Park Dedication $
ISSUED BY Date / / /-I49 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .:.L...(4.,....4 ... .�.� J . r m.1' ✓ > P /D / , _. 2 (//761
AGENT /OWNER ( - / / DATE
ADDRESS
TELEPHONE #