HomeMy WebLinkAbout0005537-Plumbing (sink) CITY OF OSHKOSH N2 05537
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGO SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /9? /' ` —G4.7 -t/ y PLAN NO.
OWNER j6 r gez.t4 c r
DESIGNER
USE /NATURE OF WORK /"2 - -74 d ,S" /Lt
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 _
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation $ 77) Permit Fee Paid $ Park Dedication $
ISSUED BY Date 7.- /& _ f/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE , ���
AGENT /OWNER DATE
ADDRESS
TELEPHONE #