HomeMy WebLinkAbout0031237- Plumbing (kitchen) CITY OF OSHKOSH N° 31237
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 0 HTG 0 ELEC 0 PLBGJ� SIGN 0 ZONING FLOOD PLAIN HEIGHT
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LIZ� [ � PLAN NO.
ADDRESS O O�
OWNER /1/ /1/7–s-
DESIGNER
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USE/NATURE OF WORK ikt,-,-„,,g_ko
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat 0 A/C ❑ Vent 0 Fuel/System Heat Loss BTU'S
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ELECTRIC CONTRACTOR
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Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR e e_z_�
BT _WH L Disp —WSoft —CBasin
Lay —Sh _L DW _____DF —San. Sewer
_WC _FDr _SP —Ur —Storm Sewer
-2----Sink —LTub —Eject —.SS —Water
Other
FEES: Valuation $ /S O a Permit Fee Paid $ /6 - C> 0 / Park Dedication $
ISSUED BY Date /� r 9 r 7 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AGENT• ' - r ATE
ADDRESS TELEPHONE#
/� PLUMBING PERMIT APPLICATION
gra �. -' � - 7 ?- T* . 3/ y 37 -
ADDRESS / DATE c �z,-('�
OWNER �� P ,f/ I'
gATURE OF WORK / �� =�`'"`-- �
__ NEW RELAY _ REPAIR _ INTERIOR
SAN SEW [ # #
JATER i I Bathtub , Sump Pump
5TTORM SEWI f Lavatory Ejector
Toilet Water Softener
;NSPECTION DATE INSPECT/ON DATE / Kit. Sink , Drinking Fountain
/ Sink(other) E.�A ( Urinal' / 0 - i-2.- Showereater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
/ :Disposal Laundry Standpipe
/ Diwashe Catch Basin
OA /fe/c - D /(2—/i--
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** Violation notes on the reverse sidel