HomeMy WebLinkAbout1987-Plumbing (kitchen sink)/~ CITY OF OSHKOSH ao 02952
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLB ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
OWNER ~
DESIGNER
USE/NATURE OF WORK Clot f ~i~~.~,~ r='>n.. 1
i
BUILDI
NG CONTRACTOR
Size Sq. Ft.
Foundation # Rooms # Stories Height
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System I
I Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Tem
Fixtures Switches
'~ ^ Type
~ Receptacles Volts Amps
Circuits
PLUMBING CONTRACTOR
- BT - WH
- Lav - Sh
- WC - FDr
Sink - LTub
Other
$
_ ~ isP
~W
P
ject - WSoft
- CBasin
- DF -San. Sewer
- Ur _ Storm Sewer
- SS -Water
FEES: Valuation $ v
ISSUED BY - Permi~ Fee Paid $
Date ~~-~" Park Dedication $
~~_ Final/O. P.
In the pertormance of this work I agree to
n pertorm F all work pursuant to rules governing the described construction.
SIGNATURE
AGEN /OWNER
ADDRESS
DATE
TELEPHONE #