HomeMy WebLinkAbout0008062-Plumbing (urinal)_CITY OF OSHKOSH N°_ 08062
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~' SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~^'" ~~~QiL~ _ PLAN NO.
OWNER
DESIGNE
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
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 fyG / G~~ (,~
i
- 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
vG~ ~~- r
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date 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
TELEPHONE #