HomeMy WebLinkAbout0043299-Plumbing (abandon)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
j.LD2-
N!- - 43299
~~E~ . . ~L~~ .~ . ~T~. ~. ~~E~. C? . ~~B~ Af. ~I~~ .~ . ~O~~N~. . . . . . .F~~~D. ~~I~. . . _ _ . ~~I~~T_ . . . .
/g.,J-r,#f<:~
[) -"'( ;/-~
~~___S:-,L W
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
~HEATING CONTRACTOR
Heat 0 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 F6-J<- J~ ~ ~
_BT _WH _Disp _ WSoft _ CBasin C-
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other I
I
,
I
FEES: Valuation $ ~ Permit Fee Paid $ /0 , 0 0 / Park Dedication $
/ /~ /;;::s-
ISSUED BY Date Final/O.P.
/ /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~.>>~
AG fOWNER
ADDRESS. /717~rlwpPcl PI"
Jj~9J
DATE
'Y2t -tJ25t
TELEPHONE /I
-.Ii
OF WOlUC
NEY
REI.AY
PLmtBING PEllHIT APPLICATION
'" DAn Id I~
p1.mmn
,6ZJ2~-e-____r ~--'7:/-
ImPAIR nn:!nOR
5/3~17
ADDRESS
OWNER
NAttm!
SAN SE'Gl # #
wA:L'!:R Bathtub Sumn PUllID
gN Lavatorv Ej ector
Toilet Water Softener
INSPECTION >>AT! msnCTION DAt! Kit. Sink Dr ink in g Fountain
(~!!~/7 y S inld 0 the:r ) urinal
W::lterheater Slop Sink
Grease Tran
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundrv Standpipe
Dishwasher Catch Basin
/')0
** Violation notes on the ~eve~se sidel