HomeMy WebLinkAbout0016101-Plumbing (dishwasher)_CITY OF OSHKOSH N° 16101
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG,~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS /.'S `]'~ /i~a /2~ry.-~_ PLAN NO.
OWNER l~ ~ ~Tt.~--- ~~ ~tv~
DESIGNER
USE/NATURE OF WORK~~ ~~- -~.CW-~r~-.~
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 'Occupancy Permit
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
Heat Loss BTU'S
Volts Amps
Circuits
- Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
rr ~~
FEES: Valuation $ ~d~ Permit Fee Paid $ ~~ Park Dedication $
ISSUED BYE .~ rw-~ Date ~~~3~ ' ~~- Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE nG/~ °oC~QT J. /~ osSE~ ~j~e~ ~ro~.Qj /7//~~~~.~6,~~ ~~-.~/-~'/
AGENT/OWNER DATE
ADDRESS
TELEPHONE #