HomeMy WebLinkAbout0019258-Plumbing (dishwasher & disposal)CITY OF OSHKOSH N°_ 19258
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS S PLAN NO.
OWNER ` '
DESIGNER
USE/NATURE OF WORK U1ls'G, lc/~.rr ti _,~ rJ1. t,%~it3r
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. 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 l
BT _ WH ~ Disp
Lav Sh ~ DW
- WC FDr SP
-Sink LTub Eject
Other
Volts Amps
- Circuits
WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
~o r a7/ V
FEES: Valuation $~ Permit Fee Paid $ / a Park Dedication $
ISSUED BY~~ ~ Date .~ ~~~_ Final/O.P.
In the performance of this work I agree to perform afl work pursuant to rules governing the described construction.
SIGNATURE .~-'~~~ ~ ~~~'~'"~ / ~QS _~/~
AGENT/OWNER
ADDRESS
DATE
TELEPHONE #