HomeMy WebLinkAbout1994-Plumbing (laterals)CITY OF OSHKOSH
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG
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ADDRESS ~`r~ ~a /~~
OWNER
USE/NATURE OF WORK
~~ ~-
No _ 43011
SIGN ^ ZONING FLOOD PLAIN HEIGHT
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PLAN NO.
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# 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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_ BT _ WH sp _ WSoft -. CBasin
- Lav _ Sh - DW _ DF ~ San. Sewer ~ ~ ~ G
- WC _ FDr - Sp _ Ur -Storm Sewer
-Sink _ LTub _ Eject _ SS ~ Water
Other
FEES: Valuation $ ~ ~S'~d . ° ~' Permit Fee Paid $ ~ ®, a d
Park Dedication $
ISSUED BY ~~'/~~ pate ~0~ Final/O.P.
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE ~-'Z • ~L./~-ZE -F~ ( g q~
AGENT/OWNE DATE
ADDRESS 3 Peer-S V U% ~3S- ~rj~
TELEPHONE N