HomeMy WebLinkAbout0011782-Plumbing (floral dept.) CITY OF OSHKOSH N2 11782
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ��c-5v J - k: //e.t.,- PLAN NO.
OWNER �c5
DESIGNER �+
USE /NATURE OF WORK i = --- _ ,r," 40) ef,
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 ,O _ c4. e__
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
4_ Sink LTub Eject SS Water
Other
11l - 7
FEES: Valuation $ Mr
erm Fee Paid $ / Park Dedication $
ISSUED BY I / Date / �' /�/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/
SIGNATURE • .. ` -, ...le
NT /OWNER DATE
ADDRESS
TELEPHONE #