HomeMy WebLinkAbout0012478-Plumbing (basement bathroom) - CITY OF OSHKOSH N9 12478
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_ PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS e2 /')79r4- e PLAN NO.
OWNER v F "214(0 f/
DESIGNER
7
USE /NATURE OF WORK 1 ,4 - r .1 I / taw _ - 0 It
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 4.3revil,—e—t_--
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC _ FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other / ^ 4.1. 2 4
FEES: Valuation $ / '"671 Permit Fee Paid $ Park Dedication $
ISSUED BY 1')/ Date ,3 - 7 7.,sef Final /O.P.
In the perfo ance o this /,/ /gree to perform all work pursuant to rules governing the described construction.
SIGNAT - E I II
AGENT /OWNER DATE
ADDRESS
TELEPHONE #