HomeMy WebLinkAbout0021276-Plumbing (2 toilets) CITY OF OSHKOSH N°_ 21276
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 e PLAN NO.
OWNER f. ca /12G
DESIGNER t� 1
USE /NATURE OF WORK s W
G
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 0
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
Z'WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation .2' 5L 0 0 Permit Fee Paid /0 0 Park Dedication
ISSUED BY k Date CJyt 6 Final /O.P.
In the performance of this work I agree to perform all w. pursuant to rules governing the described construction.
.1
SIGNATURE </0-- /OWNER E
ADDRESS
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