HomeMy WebLinkAbout0005088-Plumbing (storm seperation) CITY OF OSHKOSH No 05088
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG, SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS /41-e
-&-y-/ PLAN NO.
OWNER ,..5 C
DESIGNER
USE /NATURE OF WORK •rte -AEI
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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 Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft L CBasin
Lav Sh DW DF San. Sewer
e✓
WC FDr SP Ur Storm Sewer /v
Sink LTub Eject SS Water
Other
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FEES: Valuation $,63 Permit Fee Paid Park Dedication
ISSUED BY -1f-‘-6r- Date Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
/7.14-•c-
A C•�i O�ZS��
AGENT /OWNER #5 E 1
ADDRESS
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