HomeMy WebLinkAbout0014942-Plumbing CITY OF OSHKOSH N9 14942
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j2K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 ,/ . c/ PLAN NO.
OWNER 7 , ' 3 Z
DESIGNER
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USE /NATURE OF WORK _ . . _ _ ��z0. /44�.-1., Z. .4 ) A.-- /
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
Lav Sh 2_ DW DF San. Sewer
__i__ WC FDr SP Ur Storm Sewer
Sink . LTub Eject SS Water
Other - 4. 4 . „ - - i. ■ 4 .i
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FEES: Valuation $ Permit Fee Paid $ L32
Park Dedication $
ISSUED BY Date o - /..- ,r Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE TIP"'"
3 17P s3J 0 _L'(. 0.q. p -/ y- 0 9
AGENT /OWNER DATE
ADDRESS
TELEPHONE #