HomeMy WebLinkAbout0042739-Plumbing (orders to correct) �a io
CITY F HKOSH N� 42739 3
� O OS �
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS '��� ���� PLAN NO.
OWNER ��"rl )n�SE'_e.
DESIGNER
USE/NATURE OF WORK�r�1f� T� � Cji �C� ��
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 � • C�.���e-,!n_
_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 $ ��l J� Permit Fee Paid $ Park Dedication $
ISSUED BY Date–������� �� Final/O.P.
In the performanc of this wo gre r all work pursuant to rules governing the described construction.
SIGNATUR -
AGENT/OWNER DATE
ADDRESS
TELEPHONE aY
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