HomeMy WebLinkAbout0018153-Plumbing (laterals) CITY OF OSHKOSH N2 18153
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG g SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS
4 V 1 PLAN NO.
OWNER Le c /z
DESIGNER
USE /NATURE OF WORK
BUILDING 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 i42AA- ,4_
BT WH Disp WSoft CBasin
.4. PAL
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
4:. —Sink LTub Eject SS Watef �C'/-
Other
ir0 'l FEES: Valuation 0v Permit Fee Paid Park Dedication
ISSUED B Ali■ Date 7 Final /O.P.
9 SI In the performance of this work I agree to perf rm all work pursuant to rules governing the described construction. P t_
GNATURE
6 -2c
AGENT /OWNER DATE
ADDRESS
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