HomeMy WebLinkAbout0038666-Plumbing (addn to #37910) CITY OF OSHKOSH N° 38666
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS (7/ /A
PLAN NO.
OWNER
DESIGNER ,y�
USE /NATURE OF WORK i �ic.
3 7/4'
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
S' i i
PLUMBING CONTRACTOR ,c
i I
BT WH Disp WSoft Basin
Lav Sh DW DF San. Sewer
_WC FDr _SP Ur _Storm Sewer
Sink _.t. LTub Eject SS
Water
Other
FEES: Valuation /g°' Permit Fee Paid /0 a 6
/V g Park Dedication
ISSUED BY Date Final /O.P.L,J 1 9 l
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE J I 3 c)-1 `g
AGENT /OWNE D
r DATE
ADDRESS J S D /2 4 Ly.r 7 .7v
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