HomeMy WebLinkAbout0041105-Plumbing (addn to #39341) CITY OF OSHKOSH N� 41105
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG t e SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS j PLAN NO
11. OWNER I
DESIGNER
USE /NATURE OF WORK ,�(i�� ./eI7-r-t-e--e96- y
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 ±7,4,.. y re g r
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
I WC FDr SP _Ur Storm Sewer
Sink LTub Eject SS Water
Other
0 v O
FEES: Valuation Permit i
ermit Fee Paid c/' Park Dedication
ISSUED BY Date g /ZG/ T Final /O.P. 0 -q 1a
1
In the performance of this wo k I agree to perfo m7 ork pursuant to rules governing the described construction.
SIGNATURE J t I fy
AGENT /OWNER DATE
ADDRESS SS? /7- &//.e /'YL1)rs?//.1 �3c d.Zdc
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