HomeMy WebLinkAbout0037179-Plumbing (water softener) CITY OF OSHKOSH N° 37179
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ti?' SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 6( /.,X.4-‘ PLAN NO.
OWNER C L�� i t /'le.e _-5,
DESIGNER
USE /NATURE OF WORK 4
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 /J---1r* /d
BT WH Disp ,/1�
P WSoft CBasin
Lay Sh DW DF San. Sewer
_WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
Water
Other erd FEES: Valuation 3� Permit Fee Paid t/
Park Dedication
ISSUED BY 9
Date /i2 /d Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /2"/0
AGENT /OWNER
DATE
ADDRESS
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