HomeMy WebLinkAbout0010914- Plumbing (cap s/w) CITY OF OSHKOSH No 10914
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /On/ A • L.Gj� ' PLAN NO.
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OWNER CD t%/t ,�8(/l// c
DESIGNER
USE/NATURE OF WORK s"e-c../erdr.,uJ (i.a � - `tea pc -A.
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Rnundation Class of Const. Occupancy Permit
i
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 A--(071t. ( „7•C 4
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other ,-14 L-1--%_. z Lir
c''.. Qom.✓
FEES: Valuation $ /45-D c''..
Fee Paid $_ Park Dedication $
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ISSUED BY an Date /6/ -57-4T Final/O.P. ?- . Y 6
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,L ✓/, C=i0Z2 G'� f�/P-C' O i /a��,— CY
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
�.� /- PL ING PERMIT APPLICATION�
ADDRESS /c7e/ i4/' z-ze..7DATA_�! "-? "— f PE T# U Cil
OWNER PL ER " 't"1 '
rn
NATURE OF WORK C e _Ot,,,/,dam-t/t4407,-e `- c
NEW RELAY REPAIR INTERIOR
SAN SEW I # #WATER Bathtub Catch Basin
STORM SEWI Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
Floor Drain Laundry Tray
elb_94, Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
t** Violation notes on the reverse sidel