Loading...
HomeMy WebLinkAbout0037798-Plumbing (repair water service) ����� � � CITY OF OSHKOSH N� 3��98 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS i�3 �.�� • �I Y�, PLAN NO. OWNER � DESIGNER � USE/NATURE OF WORK ��,� (�CL. � .II1'� .(�Y,n.�� 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 Votts Amps Fixtures Switches Receptades Circuits PLUMBING CONTRACTOR �����J —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 $ ��7U•v� Permit Fee Paid $ ��•r��� Park Dedication $ ISSUED BY � Date � a�(-G� Final/O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE • AGEN OWN DATE ADDRESS TELEPHONE N