HomeMy WebLinkAbout0021404-Plumbing (sump pump & pit) 46). CITY OF OSHKOSH N° 21404
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG pK SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS See) /°/ , ' _ _
/ PLAN NO.
OWNER s 5
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DESIGNER
USE /NATURE OF WORK . f — /
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 r c j--
BT WH Disp WSoft CBasin b--,
Lav Sh DW DF San. Sewer
- WC FDr SP Ur Storm Sewer
- Sink _ LTub Eject SS Water
Other
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FEES: Valuation $ )` ' 0 • c. " C) Permit Fee Paid / O 0 G
$ Park Dedication $
ISSUED BY (13
Date //,/,/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Q
AGENT/OWNER
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ADDRESS
TELEPHONE #