HomeMy WebLinkAbout0005683-Plumbing (roof drains)CITY OF OSHKOSH N~ 05683
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / / d ~ ~ ~/ C~~-y1 ~u_ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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
Fixtures Switches Receptacles
Volts Amps
- 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 ~~ 'y 4/aa~ oL- ~~
~~~s r
FEES: Valuation $ ~
ISSUED BY c7~ii
Permit Fee Paid $ '~/~ ~'~ _ Park Dedication
Date l ~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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~/° ~~ ~
/D
DQ •-~ ,
DATE
TELEPHONE #