HomeMy WebLinkAbout0020941-Plumbing (xtra fxts) CITY OF OSHKOSH N° 20941
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 12r SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /..2,5-
PLAN NO.
OWNER RI 6- 1.--
DESIGNER ,sue,
USE /NATURE OF WORK c C{ P G C C7 7
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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR e-3 C
BT WH Disp WSoft CBasin L
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink L rb A,C GJ Eject SS Water
Other
FEES: .o O le), c 0 S. Valuation Permit Fee Paid Park Dedication
ISSUED BY Date 40/1/2/1.-€) Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE n""—_ Z/ 514 6 2 2 /Lc /"7— s2
AGENT /OWNER DATE
ADDRESS
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