HomeMy WebLinkAbout0045212-Plumbing (addn to #42499) Si/ a
CITY OF OSHKOSH
N2 45212
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG J SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
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OWNER
DESIGNER f ��q
USE/NATURE OF WORK &,,�e fF
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
t Lay _L Sh DW DF San. Sewer
f WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
e Cti
FEES: Valuation O c) Permit Fee Paid Park Dedication
ISSUED Date 4- 7 17 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules 9 overning the described construction.
SIGNATURE l e'
AGENT /OWNER DATE
ADDRESS
TELEPHONE