HomeMy WebLinkAbout0018375-Plumbing (laterals) CITY OF OSHKOSH N°_ 18375
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /'S C—Lyj c ----/-7_, �"7~_ PLAN NO.
OWNER iu /e fe"1..4
DESIGNER
USE /NATURE OF WORK AIII"
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 .6
BT WH Disp WSoft CBasin
Lay Sh DW DF 4 San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water 6'e-
Other_
OZ5 ort
FEES: Valuation Permit Fee Paid .7 1, Park Dedication
ISSUED BY Date .5 9 —pd Final /O.P.
In the performance of this work I agr a to perform all work pursuant to rules governing the described construction.
SIGNATURE rd
i 3 y 9 v
AGENT /OWNER DATE
ADDRESS
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