HomeMy WebLinkAbout0001281-Plumbing (laterals) CITY OF OSHKOSH No 01
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ■ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS c2 < / / PLAN NO
OWNER : - 4 CJZ
DESIGNER
USE /NATURE OF WORK `Se--(--c.. try ,0-- / L.v- .,--
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 V 1/1.4-s
- BT WH Disp WSoft CBasin
Lav Sh DW DF e
San. Sewer
- �l l �(/C
- WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water / / oat.
Other
- ` °3-- l Gv V
FEES: Valuation $ c v Permit Fee Paid $ / � Park Dedication $
ISSUED BY
c-4---1-7;,,-/ Date 7/� , 0 /C6 - Final /O.P. JR -51 - sk ,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE P4.- . 7 ),.Q .,..., jea ez,e_xt,.%.. a
AGENT /OWNER DATE
ADDRESS
TELEPHONE #