HomeMy WebLinkAbout0006712-Plumbing CITY OF OSHKOSH N2 06712
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 0 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS //451 " �G PLAN NO.
OWNER O ` - r� � � /7 r°c 41
DESIGNER
USE /NATURE OF WORK ___,12/74,a1 4
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 X444g.g,,
BT WH Disp WSoft CBasin
—1. Lav Sh DW DF San. Sewer
( WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
Water
Other
FEES: Valuation $ / G�� Permit Fee Paid $ �S 1 Park Dedication $
ISSUED BY Dat
e6-" 30 /J Final /O.P.
In the performance of this ork I . s r- , to p: •;,,,,,,, ,.-ork pursuant to rules governing the described construction.
SIGNATURE _
DATE
ADDRESS
TELEPHONE #