HomeMy WebLinkAbout0046821-Plumbing (laterals) CITY OF OSHKOSH N° 46821
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG t SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS /e PLAN NO.
OWNER 4 _G./
DESIGNER
USE /NATURE OF WORK
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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 .lc
BT WH Disp WSoft CBasin
Lav Sh DW DF _L San. Sewer
WC FDr SP Ur 1 Storm Sewer (7 A C
Sink LTub Eject SS Water
Other
FEES: Valuation S CJ Permit Fee Paid 6,1
Park Dedication
ISSUED BY g
Date 10 S Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE it? lic-1-- P_
AGENT /OWNER
DATE
ADDRESS 2-1'�',`C aG�J a 041 r o23 S -6 ys'
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