HomeMy WebLinkAbout0005278-Plumbing CITY OF OSHKOSH N9 05278
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT '
ADDRESS //c - / err— /GL4.,,d7( PLAN NO.
OWNER 1-i'? ' i1( 761�271
DESIGNER
USE /NATURE OF WORK ' e,W J 4 ifrrsr77-,1—
•
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 44....1 1
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
1 _ WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ OD Permit Fee Paid $ / 7 r ' Park Dedication $
ISSUED BY itl� / Date ,F /J //g7 Final /O.P.
In the performance oft • rk I a ee • .r ork pursuant to rules governing the described construction.
SIGNATURE
— TIOWNER DATE
ADDRESS
TELEPHONE #