HomeMy WebLinkAbout0000380-Plumbing CITY OF OSHKOSH N2 00380
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS '7Z Paw t°il/S PLAN NO.
OWNER / 17%I1 44..& 64A.< f v
DESIGNER
c
USE /NATURE OF WORK ,, - , 40! 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 / ..,
BT WH Disp WSoft CBasin
4 Lav Sh DW DF San. Sewer
1 WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
<X-- /
FEES: Valuation /��
o $ ! Permit Fee Paid $ 7 l Park Dedication $
ISSUED BY Date 2 /
( Final /O.P.
In the performance of this w.rk I .gree to perform all work pursuant to rules governing the described construction.
SIGNATUR :11
AGENT /OWNER DATE
ADDRESS
TELEPHONE #