HomeMy WebLinkAbout0027446-Plumbing (water meter) � CITY OF OSHKOSH N°_ 27446
� `' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
r� :
ADDRESS ��� G`', ` 7 � PLAN NO.
OWNER �
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 Heat Loss BTU'S �
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
Pl UMBING C'(�NTRACTnR �
C..7
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 $ � � ' � d Permit Fee Paid $ � � • o d Park Dedication $
ISSUED BY � Date � 'Z � �f'Z Final/O.P.
In the performance of th' or I agree to perform all work pursuant to rules governing the described constiuction.
SIGNATURE °��l • �� � �`� �� Z
AGENT/OWNER DATE
ADDRESS
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