HomeMy WebLinkAbout0015386-Plumbing CITY OF OSHKOSH N2 15386
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /.: 3 Atr` / PLAN NO.
OWNER A_ d v D C z. P
DESIGNER / / f
USE /NATURE OF WORK /d !1' Z a/ti � f j X 7 - r ` S
?el /(S
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 rD G 4
/ BT WH Disp WSoft CBasin
/ Lav Sh DW DF San. Sewer
/ WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 31)&0_0 0 Permit Fee Paid $ -/‘- a U ✓ Park Dedication $
ISSUED BY _ / (. Date -_-97 /."7 Final /O.P. //7`.`
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (-
AGENT /OWNER DATE
ADDRESS
TELEPHONE #