HomeMy WebLinkAbout1994-Plumbing (laterals)(d) CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N °- -40972
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ! �� / PLAN NO.
OWNER
DESIGN
USE /NATURE OF WORK
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 .
Volts Amps
Circuits
FEES: Valuation $ O C5 Permit Fee Paid $ d 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
AGENT/OWNER DATE!
ADDRESS " /se A44ele
TELEPHONE M
PLUMBING CONTRACTOR
BT _ WH
_ Disp
— WSoft —,n CBasin
Lav _ Sh
_ DW
_ DF —L San. Sewer
L/
— WC _ FDr
—SP
— Ur Storm Sewer
C
Sink _ LTub
— Eject
_SS Water
/�
Other
FEES: Valuation $ O C5 Permit Fee Paid $ d 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
AGENT/OWNER DATE!
ADDRESS " /se A44ele
TELEPHONE M
L-ex-C (0 /
iDDBESS INC PERMIT APPLICATION
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OWNER PDATE R� PE
RMIT# �7
NATURE OF WOR[ �Sif-� , , _ �/ //
�eA ✓C
' E-ector
ON �� M�C'iIOB Toilet Water Soft
_ � Rit. Siak
✓'z l�tl Siak( other
Drinking F
W to heater Slop Sink
ry Tub E�p ite�Drainc
sal Laundry Standpipe
asher at Basin