Loading...
HomeMy WebLinkAbout0029008-Plumbing ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 29008 TYPE: BLDG D HTG D ELEC D PLBG)f SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - -~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS (f? 7 SOL ,;0 PLAN NO. &~-~~ OWNER DESIGNER AJSFf - 1) ~ ~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC 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 "" _BT _WH _Sh ~~ ~ _ Disp _ WSoft _OW _OF _ CBasin L San. Sewer ~ PLUMBING CONTRACTOR _Lav y::- f? d C- _WC _FOr _ L Tub _SP _Ur _ Storm Sewer _Sink Other _ Eject _SS -I- Water I~ / ./" ISSUED BY S--OO..ac ~. Permit Fee Paid $ Date /-0.0 D '/3//' I.--- / / Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~~ c? :bf\~\>?/L~j;;1;;l AGENT/OWNER '0,( (;- "< ,... 9" '~l /' f~ DATE ADDRESS TELEPHONE # ADDIESS OWNEll NAnmE / PLUMBING PEDrr AnUCATION (~ ?S' ~~if . IW:E ",:/2. t::: . l'E1lIlI'I# 0- ~ f- . PLtJHBU (~ anem: AJSF{,6~~, v NEti RELAY UP Alll nOIl tl ?CJ6ff' ~ SAN SEW yJ fv c I # I ~An:ll (C~ Bath cub SUmP Purno '=~ LavatorT E;ector Toilet Water Softener ~tNSPECT!ON DAn: msncnON DAn: Kit. Sink DrinkinQ Fountain < L(5-o--e-~ w!o ~~ SiDk(other) . . 11 Waterheater Sloo Sink .. ~re::lse Trao V( .'!!:u 0 Floor Drain Local Waste Laundry Tub Site Drain Disoosal Laundrv Standoioe Dishwasher Catch Basin ** Viola~ioft ftoees Oft the reverse side(