HomeMy WebLinkAbout0021647-Plumbing (xtra fxts) CITY OF OSHKOSH N2 21647
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Ai SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 PLAN NO.
OWNER
L
DESIGNER
Zr
USE /NATURE OF WORK F 20
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 C.J ea.
BT WH Disp WSoft CBasin �./C....—.
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other A C- 4 0 n44-s4•4 r-
/ami
FEES: Valuation Permit Fee Paid t47 Park Dedication
ISSUED BY Date "1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE C'A .f"
AGENT /OWNER DATE
ADDRESS
TELEPHONE