HomeMy WebLinkAbout0015686-Plumbing (sink) CITY OF OSHKOSH N2 15686
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG P ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7-3g N'IOn roc— PLAN NO.
OWNER *Jo It V ct. g
DESIGNER
USE /NATURE OF WORK ilex _('-c- J^
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 m .0- K.((,. btc.
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
Water
Other
FEES: Valuation $ r�oOG ° oz.
Permit Fee Paid $ l� Park Dedication $
ISSUED BY - Date 70--2 `e/ Final /O.P.
In the performance of this work I agree to perform all work pursuar, ::o rules governing the described construction.
SIGNATURE /a —Z-A9/ ` AGENT /OWNER
DATE
ADDRESS
TELEPHONE #