HomeMy WebLinkAbout0030963-Plumbing (laterals) CITY OF OSHKOSH N2 30963
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Al SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /13 e--z PLAN NO.
OWNER ge-- /420c-'
DESIGNER
is rR
USE /NATURE OF WORK r
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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 p Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer (Qv C
WC FDr SP Ur 1 Storm Sewer 6 P J C
Sink LTub Eject SS _L Water
Other
FEES: Valuation i S-0 6 O 0 Permit Fee Paid K O. O 0 Park Dedication
ISSUED BY ig Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE V
AGENT /OWNER DATE
ADDRESS
TELEPHONE
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PLUMING ADDRESS 1 I3 Z? S I PEA APPLICATION
OWNER r
DATE 7 3 2 PERMIT* o
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NATURE of WORE i 19 0 Air
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4.
l.111.1.11111111.1111 Su Pu
4 11 DA r E'ector
DATE Water Softener
y t. )/c T Ste, 7/3/ Drinkin Fountain
Slo. Sink
ilil
Floor Drain a -se Tra.
MN Laundry Tu. Local Waste
Dis•osal Site Drain
IIII Dishwasher Laundr Stand•i.e
Catch Basin