HomeMy WebLinkAbout0029980-Plumbing (toilet) CITY OF OSHKOSH N°- 29980
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3/0 PLAN NO.
OWNER JJ - 12 %Z%-
DESIGNER D USE /NATURE OF WORK f
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent p 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 IiV'
Lav _ Sh DW DF San. Sewer
r WC _ FDr _ SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
--, /
FEES: Valuation $ O Permit Fee Paid $ / �7f/� Park Dedication $
ISSUED BY
.01". Date 9 // 9 2- — Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE d....11.7 cL G^4"---, -- - q
AGENT /OWNER DATE
ADDRESS Noe- Pi1.t....,_ t 231.67
TELEPHONE #