HomeMy WebLinkAbout0014016-Plumbing _CITY OF OSHKOSH N°_ 14016
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG kt SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 5 6(11a/C tG��2r� PLAN NO.
OWNER Z e CtY' �'
DESIGNER
USE /NATURE OF WORK 7'29l�` j ? - / ‘4
i� 7 k.7
�.w,1.4.4 4 7 4-
T
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 `� 1`' ���st,..,
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $..� -l_) Permit Fee Paid $ (C) Park Dedication $
ISSUED BY Date 2
� U — -ff Final /O.P.
In the performance of this agree to o II work pursuant to rules governing the described construction.
, ;
SIGNATURE -C..—
AGENT /OWNER DATE
ADDRESS
TELEPHONE #