HomeMy WebLinkAbout0018373-Plumbing (laterals) CITY OF OSHKOSH N° 18373
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /35 fyJG,' PLAN NO.
OWNER ..a.i
DESIGNER
USE /NATURE OF WORK s' ac.. Ar J
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 A L
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
c_
WC FDr SP Ur Storm Sewer 4
Sink LTub Eject SS Water 42
Other
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY Date 1 Final /O.P.
In the performance of this work I a ree to perform all work pursuant to rules governing the described construction.
SIGNATURE p S I 0
AGENT /OWNER DATE
ADDRESS
TELEPHONE