HomeMy WebLinkAbout0036968-Plumbing (laterals) Zo7
CITY OF OSHKOSH N° 36968
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /...2- fV i /"Ilal PLAN NO.
OWNER W
DESIGNER 4/5 D
USE /NATURE OF WORK F- 0 t 4
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent E. 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 �f
Lav Sh DW DF I San. Sewer 7 4 c
WC FDr SP Ur Storm Sewer c 0 e
Sink LTub Eject SS Water
Other
FEES: Valuation 0. .3 0 0 0
Permit Fee Paid Park Dedication
ISSUED BY Date /0 4/9 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE >f-go- a.."tt -77 54 93
AGENT /OWNER DATE
ADDRESS 99°21( 5';f' /t% C e)-4 e 4: Si'9ie S'7�- 3, 7c
TELEPHONE
ADDRESS I" INC PERM= AFPLICATION a OD. 0-0 �d
OWNER
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DATE C1ZON DAZE Water Softener
Drinkin
C. o
,Q •Fountain
M� Slo. Sink
1 111 Floor Drain a -se Tra.
in Laundry Tu. Local Waste
Dis•osal Site Drain
IIII Dishwasher Laundr Stand.i.e
Catch Basin