HomeMy WebLinkAbout0006063-Plumbing CITY OF OSHKOSH N2 06063
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG$ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /c 7 ,4 t ci -6.,....,-, PLAN NO.
OWNER vd 4 4/LS . /aG',ri'l/zic S
DESIGNER
USE /NATURE OF WORK r /�7?Y(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 .20‘..A
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FE ES: Valuation $ 35-3 Permit Fee Paid $ /S ;64-- Park Dedication $
ISSUED BY Date f Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE _
OF OWNER DATE
ADDRESS
TELEPHONE #