HomeMy WebLinkAbout0004829-Plumbing
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
04829
TYPE:
BLDG D HTG 0 ELEC D PLBG jd: SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
IN? 8a~7
~, p~/ q-k
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
p~ sr
~~/L rL /~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ;;t/qd/'5
;;Z BT ---I- WH -I-- Disp
-3- Lav _ Sh -'- DW
.3 WC ---'- FDr ~ SP
~ Sink -I- L ~ _ Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
r"
FeES, VaIUa1l0n~~=
ISSUED BY e:br/
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f
Pe,mll Fee Paid $ ~~.;
Date 0- a?
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
r:;L-'~~ ~ ;e~J
~.C2.2/
AGENT/OWNER
DATE
ADDRESS
TELEPHONE # .
ADDRESS--.-l7 ~S- S. CAI:::VJOQO
OWNE R G AI:f'r:l6A-~ & (Zu....JCf-I
PLUMBER WC\T~.f
OUTSIDE
PERMIT /I
Ot(g21
NATUREOFWORK
. r
if New Relay Repair if 1/
S~n Sew 'J. Bathtub Ca t ch B.
Water . :7 La va tory Grease T. ,
St. Sew ? Toilet l Sumo P.
**Inspection ) Date: t Sink Ki t. Local Waste
;{;C 7/1/6/ loll/?>? Sink (other) Site Drain
I) tJ"f':/'l/<' S'eJA..r-c i/', Shower ,. Laun dry
J<!- 7/;1.9157 ..' :::?) cl'-<Z c&.. I/t',l <-i Floor drain ILaundry tray
"- t Disposal W. Softner
dl/eleY' ,;?u' f 9b3 k) -
I Dishwasher D. Fo un tain
I vrf'Z Ur~
**Violation notes on reverse side
INTERIOR ~)'30t7