HomeMy WebLinkAbout0005639-Plumbing (1st floor bathroom remodel) � CITY OF OSHKOSH N° 05639
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �� � ��� �� PLAN NO.
OWNER �
DESIGNER
USE/NATURE nF WnRK ���/d'�� l rr�t_� /r'
BUILDING CON7'RACTOR
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 �' -
�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 $ 7��� � Permit Fee Paid $ Park Dedication $
ISSUED BY�-� .��v-�� Date Final/O.P. �
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � �` z �—��
AGENT/OW ER DATE
ADDRESS
TELEPHONE#