HomeMy WebLinkAbout0026359-Plumbing (xtra fxts) CITY OF OSHKOSH N°_ 26359
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /4, s+ C ''°"fz'`-- PLAN NO.
6
OWNER
DESIGNER l/j /A (...e.--ef-04-;, USE /NATURE OF WORK
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.---
GU, BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other /7 C ("1- I-.e
FEES: Valuation ate 6 v Permit Fee 8 Q d i
ee Paid Park Dedication
ISSUED BY L d -AeL- Date o S 7. Final /O.P.
In the performance of is work I agree to pert m all rk pursuant to rules governing the described construction.
SIGNATURE P /A-a 3-` 7/
AGENT /OWNER DATE
ADDRESS 5_ Co 4r 0117 J4 J _i 7'3 ''6)_or
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