HomeMy WebLinkAbout0011769-Plumbing (water softener in meat dept.) CITY OF OSHKOSH No 11769
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG .SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS CZZ2__ �. PLAN NO.
OWNER �� .S
DESIGNER
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USE /NATURE OF WORK r` _ _ _ Ilea -
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 C71__
- BT _ WH Disp WSoft
CBasin
_Lay Sh DW DF San. Sewer
— WC — FDr SP Ur Storm Sewer
- Sink LTub Eject SS
Water
Other
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FEES: Valuation $ (' 1'O ermit Fee Paid $ Park Dedication $
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ISSUED BY ` Date /? ' - ?Q Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . 11 " _ _��
r AG- • NER
DATE
ADDRESS
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TELEPHONE # �/