HomeMy WebLinkAbout0024253-Plumbing (interior) /� CITY OF OSHKOSH N° 24253
`' PERMIT - APPLICATION AND RECORD
: TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �] SIGN ❑ ZONING FLOOD PLAIN HEIGHT �
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ADDRESS 7� � • �� T � PLAN NO. F
OWNER ��'?G �'v/ �e
DESIGNER
USE/NATURE OF WORK �-s'-°✓ � ^ �
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 7`� FDr �SP _Ur —Storm Sewer
�Sink _LTub Eject � —SS —Water
Other 6 " � �
�K � '= L '��'-
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FEES: Valuation $ rS d�r'. � � ^ Permit Fee Paid $ `'7 7'"�' � �' Park Dedication $
ISSUED BY � Date � -�� � 9� Finaf/O.P. �"Z ' �`S ��a.
In the performance of this c I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /- ` ��
AGENT/OWNER DATE
ADDRESS 7"/��� .J ���
TELEPHONE#
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