HomeMy WebLinkAbout0025693-Plumbing (water softener) CITY OF OSHKOSH N°_ 25693
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG r4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 S 66 k r -k 5 C 0.n PLAN NO.
OWNER 0 Si,h w rA. b
DESIGNER L y
USE /NATURE OF WORK 1 5(t-► pit.
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 S PhAzy ki
BT WH Disp 4_ WSoft CBasin t J t
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 7 S s• Permit Fee Paid Park Dedication
ISSUED BY W Date ld /6 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
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