HomeMy WebLinkAbout0045436-Plumbing (bathroom remodel)CITY OF OSHKOSH
n PERMIT - APPLICATION AND RECORD
14 ir
N°_ 45436
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS I t � Z 0- -� e 0 _ PLAN NO
OWNER 44 WX( A 6-1 .p ,e_
DESIGNER
USE /NATURE OF WORK r
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
Class of Const
# Stories
Height _
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\ A E- r S /
11 BT i WH — Disp — WSoft — CBasin /
J� Lav Sh — DW — DF _ San. Sewer
J_ WC _ FDr — SP — Ur --Storm Sewer
Sink — LTub Eject _SS .— Water
Other -
J
FEES: Valuation $ �L d Permit Fee Paid $ �Q� Park Dedication $
S^ — C � i Z — Z— q 7
ISSUED BY Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing 'the described construction.
SIGNATURE` -
�.r,.,,.,.,�o DATE
ADDRESS TELEPHONE M