HomeMy WebLinkAbout034177-Plumbing (connect water to boiler) CITY OF OSHKOSH N°_ 34177
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG% SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 4 12 D PLAN NO
OWNER S.,--
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DESIGNER
USE /NATURE OF WORK t=
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 e
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
1
FEES: Valuation SO ,O a Permit Fee Paid /D d a Park Dedication
ISSUED BY________ Date 7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE g...4-4...4-4......------- f' =a 2 fi
9 l� AGENT /OWNER
DATE
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