HomeMy WebLinkAbout0006695-Plumbing (laterals) CITY OF OSHKOSH N2 06695
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,x SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ��'.Z ir 747,74 �
���- -c; c(- D��l/L4 r � PLAN NO.
OWNER -�
DESIGNER
USE /NATURE OF WORK_ - -fir -- G4_ r.-
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 V 6- arv' S
BT WH Disp WSoft
CBasin
Lav Sh DW �/11�
DF - San. Sewer � ` v C
— WC FDr SP Ur .S__ Storm Sewer
Sink LTub u
Eject SS - Water / lQ �.
Other G
FEES: Valuation $ 5-� a-6--
Permit Fee Paid $ Park Dedication $
ISSUED BY �°r , " - _- -------- Date 4 ./ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE pl--- -..„... `r'�
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #