HomeMy WebLinkAbout0015720-Plumbing (kitchen sink)~ CITY OF OSHKOSH N°_ ,.15720
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG,~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS J ~ ~ ~ ~~ ~~~G PLAN NO.
OWNER '~`~' ~~ ~~ /y~~
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
# Rooms # Stories
Class of Const.
Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR ~
BT WH
Lav Sh
WC FDr
Sink LTub
Other
Volts
Circuits
Height .
Occupancy Permit
BTU'S
Amps
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
Water
Z az7
FEES: Valuation $ 3~
Permit Fee Paid $ ~
Park Dedication $
?~
ISSUED BY_ Date ~G ~~ "-~ Final/O
P
~ .
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .~ i!~i~~'~"~C!""" Z ~
~~ ~ AGENTIOWNER DATE
Sq. Ft
ADDRESS
TELEPHONE #