HomeMy WebLinkAbout0039277-Plumbing (lav & kitchen sink) CITY OF OSHKOSH
No 39277
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 9 � 7 , itd2 Li�J -e. PLAN NO.
M41- OWNER - ! t
DESIGNER L _-
USE /NATURE OF WORK � . JzZ.L. , , ll'A ')( 41/11-4)
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 y ' 6L42/ 7U4 2.A.L41,
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 $ 9 ii5. 4o Permit Fee Paid $ /0. €U I Park Dedication $
ISSUED BY Al, Date 5 - 9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4l(\" 0 1
(q
AGENT /OWNER DATE
ADDRESS
TELEPHONE #