HomeMy WebLinkAbout0007055-Plumbing (install sink) /� CITY OF OSHKOSH N°_ 07055 F
. `' PERMIT - APPLICATION AND RECORD ?
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK �S��j �YC��� �g,v,�a ,S'!YI� �'Z. �V'S� �/�`rli-
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
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ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR � LZ�Q
_BT —WH —Disp —WSoft —CBasin
—Lav Sh DW —DF —San. Sewer
—WC —FDr —SP —Ur Storm Sewer
�Sink —LTub —Eject SS —Water
Other
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FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY �/ / �-� Date l{ � Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
� AGENT/OWNER DATE '
ADDRESS
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