HomeMy WebLinkAbout0017074-Plumbing (code violations) CITY OF OSHKOSH N°_ 17074
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS a/2_ j' 1 / / /7/27 a -,C,. PLAN NO.
OWNER 7 / E `tome / 44 j z /4.A
DESIGNER
USE /NATURE OF WORK AiP 4 . _ > , • r - _
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of CDnst. 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 /MP -Vie / Sa..-4-4- /
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
__Sink LTub Eject SS Water
Other_
ere) csr
FEES: Valuation $ ? 0 Permit Fee Paid $ l0 Park Dedication $
ISSUED BY _ _ Arr... Date /'_ 2 " � v Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIG NATUR /6U I a ci . r �/ -Q() ,r77
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AGENT /OWNE DATE
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ADDRESS 61 /
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