HomeMy WebLinkAbout0027179-Plumibng (lav & shower) CITY OF OSHKOSH N°_ 27179
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / " -S i- 4—'1— PLAN NO.
OWNER / -� . /'/
DESIGNER
USE /NATURE OF WORK 94 " ___--e----
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 i 4 -.._
BT WH Disp WSoft CBasin
1 Lav / Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ SO O ' O Permit Fee Paid $ /-e) ` d Park Dedication $
ISSUED BY Date — -- 9 Z— Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �--- J - 2
AGENT/OWNER DATE
ADDRESS t o 5 e f c.e ��
a33-C.'?"(7
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