HomeMy WebLinkAbout0044090-Plumbing (kitchen/bath)(&& CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N°- 44090
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN - - HEIGHT- - -
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/-7/14' E '2 PLAN NO.
ADDRESS
OWNER
DESIGN
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
O_X_7 -
# Rooms # Stories Height
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
lMM BT _ 1NH — Disp
Lav — Sh — DW
WC _ FDr — SP
Sink — LTub —Eie
Other
— WSoft
DF
— Ur
_SS
CBasin
— San. Sewer_ — Storm Sewer
— Water
FEES: Valuation $
e' '3 , " Permit Fee Paid $ t Park Dedication $
ISSUED BY Date - �' Final /O.P.
In the performance of this
SIGNATURE
ADDRESS
I agree to perform all work pursuant to rules governing the described construction.
AGENT /OWNER
DATE
TELEPHONE #