HomeMy WebLinkAbout0011591-Plumbing (cap sewer) CITY OF OSHKOSH N2 11591
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /?J d .lr IJy PLAN NO.
OWNER rc _L,' .
DESIGNER
USE /NATURE OF WORK i -' _ 2-C'(2 2' Z-
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 _/: VV J C- 94--- r
BT WH Disp WSoft ' CBasin
Lav _ Sh DW DF San. Sewer
WC — FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other /----- M/M/f iLii• .
FEES: Valuation $ e� a3t I/
Permit Fee Paid $ .i Park Dedication $
ISSUED BY / Date Aar / Final /O.P. ,9*4
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE "--, . , b -1 - 4-14/1--
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #