HomeMy WebLinkAbout0033866-Plumbing (laterals) Ka/
CITY OF OSHKOSH N° 33866
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 C 3 fri K
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK S re
0 1
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuei /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 6 E
BT WH Disp WSoft CBasin D
_Lay Sh DW DF San. Sewer ci c
WC FDr SP Ur 1 Storm Sewer K
Sink LTub Eject SS Water l C.—,___
Other
FEES: Valuation �d 0 0 Cam. Permit a` 0 C, V
erm Fee Paid Park Dedication
ISSUED BY Date V, 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �✓a- /P ff7...--/".t.Y----) v c /11 9r3
AGENT /OWNER DATE
ADDRESS /G -0 /f r."- V6a l A� (t/,L 5 9Q 2f1 6hG 0
TELEPHONE