HomeMy WebLinkAbout07164 - Plumbing (replacement) CITY OF OSHKOSH N° 07164
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGA., SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS v /,2/ 0 r—/,JQ PLAN NO.
OWNER •1-/—f1�1.,--Th
DESIGNER
USE/NATURE OF WORK p /4:-e-c- ---if,,--7.4„ -am
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 -- 22 1 - ;'
BT _L WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY �� .-� Date ��24
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE °C-- , / �� . �."/eicr
AGENT,OWNER DAT
ADDRESS
TELEPHONE#