HomeMy WebLinkAbout0011230-Plumbing (water softener) CITY OF OSHKOSH N9 11230
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGyt SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 Y'J C v-eR 74 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK `it✓pf /e.. c" Y /1 'P�^
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 .4. !(l
BT WH _L WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation `j Permit Fee Paid J Park Dedication
ISSUED BY -re-Z- Date 7 -V4,/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. J 2 P 4s1
SIGNATURE l9' f4
AGENT /OWNER DATE
ADDRESS
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