HomeMy WebLinkAbout0010019-Plumbing CITY OF OSHKOSH No 10019
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS . 7U O��C 7/? r PLAN NO.
OWNER 7 7-'1 ' 2 - (r�iat ./ ,
DESIGNER �f
USE /NATURE OF WORK 6 .iw---C-C--G,•
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
441.4.4
S'
4 BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
T WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
car g�V
FEES: Valuation $ v Z37) Permit Fee Paid $ / Park Dedication $
ISSUED BY Date IF -4W Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,, j Oa C"---- ( .Lc( , (�
( AGENT /OWNER DATE
ADDRESS
TELEPHONE #