HomeMy WebLinkAbout0013162-Plumbing (laterals) CITY OF OSHKOSH N2 13162
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGc8. SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS c> /srl`j�t PLAN NO.
OWNER C ">t%1/t. i4G
DESIGNER
USE /NATURE OF WORK -5��
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 C' C tC
BT WH Disp WSoft CBasin
Lav Sh DW DF (San. Sewer 7 a
C FDr SP Ur Storm Sewer
N
Sink LTub Eject SS Water fl e-c'"'---
Other
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FEES: Valuation r.) Permit Fee Paid Park Dedication
ISSUED BY r Date __,..42 Final /O.P./f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .L
AGENT /OWNER /DA TE
ADDRESS
TELEPHONE
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