HomeMy WebLinkAbout0010441-Plumbing (kitchen sink)P _CITY OF OSHKOSH N~ 1o44a
ERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS- ,--` ~~~~~ PLAN NO.
OWNER ~ ~ t / ~f i.S/l~lS lC' ~
# Rooms
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
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
- Lav - Sh
- WC - FDr
Sink - LTub
Other
- Disp - WSoft ._ CBasin
- DW - DF -San. Sewer_
- SP - Ur -Storm Sewer
-Eject - SS -Water.
# Stories Height
Class of Const. `Occupancy Permit
d-v ~
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of agree to rtorm all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
~~C
/ ~
AGENT/OWNER
DAT
TELEPHONE #