HomeMy WebLinkAbout0004229-Plumbing (interior) (41-- CITY OF OSHKOSH N2 04229
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG t SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /338 j 1 PLAN NO.
OWNER Aaki vt ` S /1'� C-0/
DESIGNER
USE /NATURE OF WORKv .14J • S' s2^ - /0 i4 t
V
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 /9. /(
B
-f— BT _L WH Disp WSoft CBasin
Lav Sh 4_ DW DF San. Sewer
- FDr SP Ur Storm Sewer
Sink 4_ LTL Eject SS Water
Other
cs
FEES: Valuation $ 4 ,� / Permit Fee Paid $ . Park Dedication $ / /
ISSUED BY / Date ?V'!" Final /O. P. �l �f
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 #