HomeMy WebLinkAbout0009392-Plumbing (interior) (411) CITY OF OSHKOSH N o 09392
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ..+r 4&/11/ i /fi PLAN NO.
OWNER 6 4-6,1„-'7` 4.. i2 .-.>-
DESIGNER ,� / r
USE /NATURE OF WORK /(/dC� ,..5,171 g �:f��/!/Lt
y
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR p_ j
BT 4 WH Disp WSoft CBasin
- 2 - Lav Sh DW DF San. Sewer
?-WC 1_ FDr SP Ur Storm Sewer
Sink LTu Ej t _SS Water
Other /- AA-0 , T 4:
FEES: Valuation $ j ( / Permit Fee Paid $ ` j to (W.__ Park Dedication $
ISSUED BY a, .;..� Date 7/G2. - Final /O.P. ? - 02 - V
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ..� /. /�
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
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