HomeMy WebLinkAbout0046135-Plumbing (lav) 1 07
CITY OF OSHKOSH N ° - 46135
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 6 6 Z / rl7e S C7 '7' a ,S'6 . PLAN NO.
OWNER h C ft)ej
DESIGNER
USE/NATURE OF WORK re In /l lie kat (/O 40 ry li A e a o s p ,ham,., -
en.r. J
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 A Laze. �/u.„4-77 , f x
- BT — WH _ Disp — WSoft _. CBasin Z----
I Lav Sh _ DW _ DF — San. Sewer
- WC _ FDr _ SP _ Ur _ Storm Sewer
- Sink _ LTub — Eject _ SS _ Water
Other
FEES: Valuation $ I • a. _ Permit Fee P ' $ / 0. �
Park Dedication $
ISSUED BY Date 7 y /- -y'.S
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1•Z . c, -cam ,,, /r2
ENT /OWNER U TE
ADDRESS I3`2., T a r -2 f . z f
n
TELEPHONE #