HomeMy WebLinkAbout011159 - Plumbing -(Add bathroom) CITY OF OSHKOSH No 11159
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ( 4.2 /7/71/71 4W8ei/k PLAN NO.
OWNER C7- C"_'0 (:::‘-‘,/..--- r"a_-C-L-
DESIGNER
USE/NATURE OF WORK r e7'1-4--117 c{ </ 1 P1--N LL %G, ei- / L
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR e:)16.--Cryt6:A-----
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
7_WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
aZ) / ./
FEES: Valuation $:1_, ..1./. ......22)__ ermit Fee Paid $ 1 Park Dedication $
ISSUED BY c??r� Date // /7 /Cre Final/O.P. c7 —5 — 99
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE !jy �v� Jl-,._�! C�-< C ^�,---
AGENT'OWNER DATE
ADDRESS
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