Loading...
HomeMy WebLinkAbout0005192-Plumbing (kitchen sink) � CITY OF OSHKOSH N° 05192 : �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS .���� �"�"`F'j''f/ � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK �''�P�/���/� ,$�%�t 6 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/5ystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps F�ctures 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 $ �� ��� Permit Fee Paid $ '��� Park Dedication $ ISSUED BY i v�/`��'� Date � Final/O.P. In ihe performance of this work I agree to perform all work pursuant to rules goveming the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE A`