Loading...
HomeMy WebLinkAbout0032221-Plumbing (repair sanitary sewer) � CITY OF OSHKOSH N°- 3222� `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS 3 r� � � r PLAN NO. OWNER � � DESIGNER USE/NATURE OF WORK ��"� BUILDING CON�'RACTOR 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 / FEES: Valuation $ ��� b e � Permit Fee Paid $ ��' � � Park Dedication $ ISSUED BY �� Date � �' � L Final/O.P. 7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE "�`-�-1�� ��"1t� �/c'��4 >'�.�;a� �•�`�1— >� AGENT/OWNER DATE 1 � � ADDRESS �� � � � �'z�''"` '�'�� �/J�1�z. Cob�c'=S 7�,� TELEPHONE#