HomeMy WebLinkAbout0028051-Plumbing (water closet)_CITY OF OSHKOSH N°_ 28051
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG [~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~`/ / / \
PLAN NO.
OWNER w
DESIGNER
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
Fixtures Switches Receptacles
Volts Amps
- Circuits
PLUMBING CONTRACTOR ~ -'
BT _ WH Disp W oft CBasin ~~
- Lav Sh _ DW _ DF _ San. Sewer
WC
FDr SP Ur -Storm Sewer
-Sink LTub Eject SS Water
Other
FEES: Valuation $ ~~~ ~ ~ ~ Permit Fee Paid $ ~ d ~ ~ Q Park Dedication $
ISSUED BY ~ Date ~ 9 ~ Final/O
P
.
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
# Rooms # Stories
Class of Const.
Height .
Occupancy Permit
TELEPHONE #