HomeMy WebLinkAbout0046565-Plumbing 41) CITY OF OSHKOSH
N 4 5 65
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG cgi SIGN ZONING FL, •D PLAIN HEIGHT
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ADDRESS 'l1fI/ a ..•.•..�,ri FG'..' na'1 1161.4.1...111111>ia PLAN NO
OWNER 1 ro.r,CPS C_OrIC1,1"\ I SC`aNM01
DESIGNER
USE /NATURE OF WORK i....0 1. _id L IV /J 01 I .4t ./t 4%1. l 0
An ex,e.iikAQ Cr a fPre-ScJ1
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 g• A-VIn
BT WH Disp WSoft CBasin
Lav Sh DW J D San. Sewer
3 __WC, "Its FDr SP Ur Storm Sewer
I LTub Eject SS Water
Other
FEES: Valuation Permit -e Paid 00 Park Dedication
gr- 7 ISSUED BY AEI Date Final /O. P
In the performance of this work I -e ,r Tr all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
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