HomeMy WebLinkAbout0038806-Plumbing (water softener) CITY OF OSHKOSH
N2 38806
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 1;5 /( PLAN NO.
OWNER Z -2—e_
DESIGNER
USE /NATURE OF WORK �� ///—S
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 "
BT WH Disp _L WSoft — CBasin
— Lav Sh DW DF San. Sewer
— WC — FDr _ SP _ Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ -� 0 b d Permit Fee Paid $ �� ° Park Dedication $
ISSUED BY le Date 0/9 X Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE v , e ) �f J�
A GENT ? /OW E "
R 0 (
ADDRESS
TELEPHONE #