HomeMy WebLinkAbout0020447-Plumbing (install lav) CITY OF OSHKOSH N2 20447
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS h•Z o O S ° Ke PLAN NO.
C /
OWNER air
DESIGNER
USE /NATURE OF WORK the -�C
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 0 • k , G- ...4
- BT WH Disp WSoft CBasin CA)
—L Lav _ Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /.0 ,", Permit Fee Paid $ /e, ! p C' Park Dedication $
ISSUED BY ( Date , `l g - ?d Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . . . . . .-.z...,. , . . . . . .9, . 4 . , _
-AGENT/OWNER DATE
ADDRESS
TELEPHONE #