HomeMy WebLinkAbout0026687-Plumbing (connect city water) CITY OF OSHKOSH N° 26687
PERM T -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ EL C ^ PLBG [~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 OS"`
PLAN NO.
OWNER
DESIGNER
f
USE/NATURE OF WORK ~
~.-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fu I/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Chan e ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT - WH Disp WSoft - CBasin ~ Q
- Lav Sh DW - DF -San. Sewer
WC FDr - SP Ur -Storm Sewer
-Sink LTub -Eject SS -Water
Other
FEES: Valuation $ ~~
o
~
~ Permit Fee Paid $ la p a Park Dedication $
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ISSUED BY ~ FC""-"-'i D
`~"~-~ Date ~ 2 " ~ 6 ` 9i Final/O.P.
In the performance of this work I agr a to perform all work pursuant to rules governing the described construction.
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51GNATURE -~- V
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NTIOWNER DATE
ADDRESS S~~ ~~_ ~ 2.
TELEPHONE #
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OWNER
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PESN~ pppLICATION ,~ 6 6 8 7
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~ ' ~J i Laundry u
.~~ ~ Dis osal
Dishwasher
Sum Pu
E'ector
Water Softener
Drinkin Fountain
Slo Sink
e
Local Waste
Site Drain
Laundr Stand i e
Catch Basin
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