HomeMy WebLinkAbout0018372-Plumbing (laterals) CITY OF OSHKOSH N2 18372
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 0 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /..215
i, C/i lC -2-- PLAN NO.
OWNER G x le Cc G, f
DESIGNER
USE /NATURE OF WORK C-1.--27
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 777 T 7 1--.. v ('Jit-
BT WH Disp WSoft CBasin
Lav Sh DW DF t( San. Sewer 6
WC FDr SP Ur Storm Sewer
4
Sink LTub Eject SS Water
Other
?J 4 V
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY j C Date 9 `F.: Final /O.P.
In the performance of this work I a ree to perform all work pursuant to rules governing the described construction.
SIGNATURE
Lr f ,5 9- ')o
AGENT /OWNER DATE
ADDRESS
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