HomeMy WebLinkAbout0007695-Plumbing (water softener) CITY OF OSHKOSH N° 07695
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2-i 11 S0-i ‘/;grxv PLAN NO.
OWNERS /J��‘e
DESIGNER
USE /NATURE OF WORK C .'44 e- sz
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 El Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR A
BT WH Disp 4 WSoft CBasin
Lav Sh DW OF'
San. Sewer
WC FDr SP Ur 'Storm Sewer
Sink LTub Eject SS Water
Other
4$121A FEES: Valuation Permit Fee Paid 5 -1"---j Park Dedication
ISSUED BY Date //i Final /O.P.
In the performance of thi ork I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1."----- 1."----- ``A fi �(`�O
A ENT /OWNER D ATE
ADDRESS
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