HomeMy WebLinkAbout0020023-Plumbing (laterals) CITY OF OSHKOSH N2 20023
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 70 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK S/IA
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 T•• A"^
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer V I C
WC FDr SP Ur Storm Sewer Sink
LTub Eject SS _k Water C"
Other
n 00 6 c' y
FEES: Valuati
o Permit Fee Paid Park Dedication
ISSUED BY C 6e--el- Date 8 /2 d Final /O.P. o °'ia p q 4
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ae jec St- )7- 6
AGENT /OWNER DATE
ADDRESS
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