HomeMy WebLinkAbout0035538- Plumbing (outside) Ko/
N2 35538
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC E PLBG41 SIGN ❑ ONING FLOOD PLAIN HEIGHT
ADDRESS /00 / /V • `--4_,,cd_jd PLAN NO.
OWNER 71fG
DESIGNER
USE/NATURE OF WORK /'(G-2-Je-L -,--frti --6--- ---7-- - O....„i-,z4._
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
,
HEATING CONTRACTOR
Heat ❑ NC E 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
-Lay Sh DW DF r San. Sewer
L/C
WC FDr SP Ur Storm Sewer
Sink LTub Eject —SSWater /
Other
moo . o 26 , 0 Q 1/
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date &//O/ / Final/O.P. g-A5-93
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ar- 1/<;ie d 37 1-<— /sy3
AGENT/OWNER/O' DATE
ADDRESS g 4.' S� V cw: 31 -IF 7 c
TELEPHONE#
/d a / /"� PLUMBING PERMIT APPLICATION ]
*1211=5. S 7/93 PEa�=# 3 S—.-3
ADDRESS � �� DATE /
OWNER `�J, /,...„,
/- 2%y,�/ _/ P ,L. IcQ�t�.
`MATURE OF WORK /1 �s—z� `, „, .la z�- � /,... - O � ,
NEW RELAY REPAIR ` INTERIOR
SAN SEW 'I I
,.TATER I ( " 1 I Bathtub SuPump
S"ORM SEMI I I mo 1 Lavator9 Ejector
Toilet Water Softener
IJSPECPZON DATE INSPECTION DATE IKit. Sink Drinkin Q Fountain
Sink(other) Urinal
S/ ) s /1 7 /�3 Water
Shower Slop Sink
Grease Tra.
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
-- Violation notes on the reverse Side!