Loading...
HomeMy WebLinkAbout0017650-Plumbing (separate utilities for apartments) � CITY OF OSHKOSH N° 17650 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �• �Q� �/�•i PLAN NO. OWNER DESIGNER , USE/NATURE OF WORK �erO L��,(�,�l7c�s �Y' C�.OIQi��s'�'ll�iLc(7T 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 '' �� BT —WH Disp —WSoft CBasin _Lav Sh DW DF San. Sewer WC —FDr —SP —Ur —Storm Sewer —Sink LTub Eject SS Water Other �— /L1/1�I i/1/�GL7s�v� FEES: Valuation $ � Permit Fee Paid $ `�� Park Dedication $ ISSUED BY Date �^��9� Final/O.P. In the perfo� 's work I agree to perform all work pursuant to rules governing the described const�uction. / SIGNATURE �� � � AGENT/ DATE � ADDRESS TELEPHONE# �