HomeMy WebLinkAbout0012994-Plumbing (dishwasher)/~ CITY OF OSHKOSH No 12994
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~~ ~ ~~.-1C ~ PLAN NO.
OWNER l
DESIGNER
1~
USE/NATURE OF WORK N ~s `iT,/t~/1~ tiy^ _
BUILDING CONTRACTOR
Size
Foundation
# Rooms # Stories
Class of Const.
Height .
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
PLUMBING CONTRACTOR
BT -WH
Lav _ Sh
WC _ FDr
Sink LTub
Other
Volts Amps
- Circuits
Disp
.~ DW
SP
-Eject
- WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ~lJ`~_ P mit Fee Paid $ ~a Park Dedication $
ISSUED BY Date _ "~~ Final/O.P.
In the performance this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~° ~
R AGENT/OWNER DATE
ADDRESS
Sq. Ft
TELEPHONE #