HomeMy WebLinkAbout0015380-Plumbing (interior) CITY OF OSHKOSH N2 15380
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /? J " y ' Gt) Q, I S PLAN NO.
OWNER .._e
Ii hz a
DESIGNER
USE /NATURE OF WORK 4 kJ Si•4-74 re.- -.... /
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 ha c_,
/ BT / WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC / FDr SP Ur Storm Sewer
Sink Ll,✓I D Eject SS Water
Other
FEES: Valuation $ Ds-too -eel Permit Fee Paid $ 3.J -62 0 / Park Dedication $
ISSUED BY `71 - /7 le, Date 0j " Final /O.P. 7A/77
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - -r- - �� ,_
AGENT /OWNER DATE
ADDRESS
TELEPHONE #