HomeMy WebLinkAbout0026345-Plumbing (BFP)n CITY OF OSHKOSH N4
PERMIT - APPLICATION AND RECORD
26345
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG PQ SIGN E] ZONING FLOOD PLAIN HEIGHT
------------------- - - - - -- ----- - - - - -- -----------------------------
ADDRESS �C'�- _ PLAN NO.
OWNER /4
DESIGNER
USE /NATURE OF WORK-
BUILDING CONTRACTOR_
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles.
PLUMBING CONTRACTOR
BT WH Disp
Lav Sh DW
WC FDr SP
Sink LTub Eject
Other / ._ R . P. �,I C /_
Heat Loss
Volts Amps
Circuits
WSoft
DF
Ur
SS
BTU'S
CBasin
San. Sewer_
Storm Sewer
Water
FEES: Valuation $ L � 0 c Permit Fee Paid $ C' Park Dedication $
ISSUED BY C`� Date '� ��� Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
0(c> S
(� AGENT /OWNER
ADDRESS
g DATE
TELEPHONE #