HomeMy WebLinkAbout0039410-Plumbing (abandon) r.0,2—
CITY OF OSHKOSH N° 39410
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 0 PLAN NO.
OWNER Z--
DESIGNER
USE /NATURE OF WORK S, !1./
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 <6
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS
Water
Other
t1
/Y� o c�
FEES: Valuation Permit Fee Paid f
Park Dedication
ISSUED BY �'6/ Date S Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .e�,,� S _/Z
AGENT DATE
ADDRESS /308 fA9#€ ,,,q l�� 2 3 7 -z 7 SY
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