HomeMy WebLinkAbout0011973-Plumbing (sink) CITY OF OSHKOSH N2 11973
(416 PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 Are PLAN NO.
OWNER i g
DESIGNER
USE /NATURE OF WORK P-1 S G/ .G' /L
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 0 7 ,c.�
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ 41 Permit Fee Paid $ J Park Dedication $
ISSUED BY Date
4 Final/O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE L"' 0 ' '
AGENT /O DATE
ADDRESS
TELEPHONE #