HomeMy WebLinkAbout0020022-Plumbing (laterals) CITY OF OSHKOSH N° 20022
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG c SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /4 PLAN NO.
OWNER A'1^
DESIGNER
USE /NATURE OF WORK 'S "mac
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 0 a--
BT WH Disp WSoft CBasin Q
_Lay Sh DW DF San. Sewer 1 J
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water dt.-4_,
Other
FEES: Valuation Ape, o d Permit Fee Paid t3 J
Park Dedication
ISSUED BY C Ly Date g 2 9� Final /O.P. ff 7'" 90
In the performance of this work I agree to erform all work pursuant to rules governing the described construction.
SIGNATURE V g -ir?_ 4;
AGENT /OWNER DATE
ADDRESS
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