HomeMy WebLinkAbout0033865-Plumbing (laterals) CITY OF OSHKOSH N9 33865
PERMIT APPLICATION AND RECORD
TYPE: BLDG HT G ELEC PL HEI
C PLBG SIGN ZONING FLOOD PLAIN HEIGHT
G
ADDRESS /4 7 L PLAN NO.
OWNER de
DESIGNER
USE /NATURE OF WORK f_5'/--
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 CBasin
Lav Sh DW DF JSan. Sewer e
WC FDr SP Ur I Storm Sewer c,L r v C
Sink LTub Eject SS Water C.--.--
Other
FEES: Valuation `0 d Permit Fee Paid ,?0 Park Dedication
IP
ISSUED BY Date s Final /O.P.t
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i( G s. 5- /7-z?—?
AGENT /OWNER DATE
ADDRESS U 41a 144 41A, .S q1 2 e/4/ —4<e<jf
TELEPHONE
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