HomeMy WebLinkAbout0004198-Plumbing (lawn sprinkler)~ CITY OF OSHKOSH N°_ 04198
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ ~ PLAN NO.
OWNER -
DESIGNER
USE/NATURE OF WpRK ~` ~ /-! --.,.- ~" ,~:.d~'- --- r ,.//~
d .r ~ i ~,.. ~~
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BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR -~
BT WH
Lav Sh
WC FDr
-Sink LTub
~
Other f'__` >~~-
Volts Amps
Circuits
BTU'S
Disp WSoft CBasin
DW DF San. Sewer
SP Ur -Storm Sewer.
Eject/ SS -Water
FEES: Valuation $ .~-- ~ - Permit Fee Paid $ ~ ~~ ~ Park Dedication $
ISSUED BY '-°''~ Date ~°" ~~ ~,~ Final/O.P.
In the performance of this wo I agree to perform all rk pursuant to rules governing the described construction.
SIGNATURE
AGENT/OW DATE
ADDRESS
TELEPHONE
# Rooms # Stories -Height _
Class of Const `..Occupancy Permit
Heat Loss
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