HomeMy WebLinkAbout0043643-PlumbingNo -43643
CITY OF OSHKOSH
`► PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING - - - - FLOOD- PLAIN - - - - - HEIGHT- -
--------------------------------------- ADDRESS—/9- ?'r �` ` `' ""' PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
# Rooms # Stories
Class of Const.
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR�'< u `-
_L__ BT WH — Disp
J Lav 'Sh I DW
?- WC � FDr SP
Sink L-6T-t►b Zt, Eject
Other
1 'y-
Heat Loss
Volts Amps
Circuits
W Soft
DF
Ur
SS
Height
Occupancy Permit
BTU'S
— CBasin
San. Sewer_ — Storm Sewer
Water
FEES: Valuation $
S �'
Permit Fee Paid $
c'
Park Dedication $
ISSUED BY
/T`
Date Z
-3 �'
--
Final /O.P.
In the performance of this
SIGNATURE
ADDRESS
•f) /1
I agree to perffrm a!�work pursuant to rules governing the described construction.
/ /AGENT/OWNER
'C vc,Z'yld.�.✓1
DATE
%3v ��-
TELEPHONE N