HomeMy WebLinkAbout0006707-Plumbing (laterals) CITY OF OSHKOSH N° 06707
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 2(SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /9O c
/9c / / /'J /,(... - -)
� PLAN NO.
OWNER f "` 2c..." /.0.--.1, Z.<774-re ��
DESIGNER
USE /NATURE OF WORK 4/iiG -••••• — ; ` ■i _iI41/
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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
- BT WH Disp WSoft
CBasin
__Lay _ Sh DW DF San. Sewer
__WC FDr SP Ur Storm Sewer
- Sink _ LTub Eject SS Water
Other /-.-. 7/4• , ` 1.14'0-,—
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FEES: Valuation Permit Fee Paid $ V Park Dedication $
ISSUED BY ---r / ,aL--es_ Date c;" - /
Final /O.P. `2 /.�4
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' L� . „ 1i41 A
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #