HomeMy WebLinkAbout0011276-Plumbing (kitchen sink) CITY OF OSHKOSH No 11276
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g_. SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS I l i ? / 7/ PLAN NO.
OWNER X
D
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ESIGNER ( ---,.--"- 3 USE /NATURE OF WORK cZ , S ‘"1,L(
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 I e ' _ , ...a-
BT WH Disp WSoft CBasin
Lay _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
oa
FEES: Valuation $ /5
Permit Fee Paid $ Park Dedication $
ISSUED BY ,. Date ( 2 " ( /9' Final /O.P.
In the performance of t • work I a ree to perform all work pursuant to rules governing the described construction.
SIGNATURE
(9«,�
AGENT /OWNER DATE
ADDRESS
TELEPHONE #