HomeMy WebLinkAbout0037826-Plumbing (water softener) CITY OF OSHKOSH N° 37826
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG gir SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 3 o l 4,-..... PLAN NO.
OWNER 43-1 -
DESIGNER
USE /NATURE OF WORK "KS /
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 /rl
BT WH Disp 4 WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 0. Od Permit Fee Paid $ /0 ' d Park Dedication $
ISSUED BY Date 'X 2 05' Final /O.P.
In the performance of this w. k I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE A _ / Ai WV 1
AGENT /OWNER DATE
ADDRESS
TELEPHONE #