HomeMy WebLinkAbout0020390-Plumbing (laterals) CITY OF OSHKOSH N° 20390
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG J. SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /332 ///(94 Yd--c P AN NO.
OWNER / z4/4.4as. c /v �,C1j
DESIGNER
USE /NATURE OF WORK - A! -, _ i_ _ .1.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 4/'
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 $_ Age Permit Fee Paid $ Park Dedication $
ISSUED BY s Date /-2--90 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - "G'��'�
AG OWNER DATE
ADDRESS
TELEPHONE #
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