HomeMy WebLinkAbout0026360-Plumbing (xtra fxts) CITY OF OSHKOSH N9 26360
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD, PLAIN HEIGHT
ADDRESS 7 O C PLAN NO
OWNER if en.-.-
DESIGNER
D r
USE /NATURE OF WORK -.4 t 1 SI/
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 1/ U
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other /9C Gij c.
FEES: Valuation -2s5-6 •0 d Permit Fee Paid /.O Ci 6 Park Dedication
ISSUED BY 6t-ii c_a Date 27 Final /O.P.
In the performance of this work I agree to perfor all work pursuant to rules governing the described construction.
SIGNATURE E'�
AGENT/OWN R DATE
ADDRESS C) ([4° 741-7p. 7 (9aLC
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