Loading...
HomeMy WebLinkAbout0030747-Plumbing (city re-hab) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 30747 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ ~~E~ _ ~ _ ~~B~ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ s--Cr.. ~ ADDRESS .4!J PLAN NO. OWNER /f DESIGNER ~~~-v~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit 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 j) ~ _Lav -.L wc _WH _Sh _Disp _DW -I- SP _ WSoft _DF _ CBasin #' _BT _ San. Sewer _Sink Other _FDr _ L Tub _Ur _ Storm Sewer _ Water _ Eject _SS FEES: Valuation $ ISSUED BY a 0 0 ~o 0 IP Permit Fee Paid $ Date / ( 16 ",0 0 9-/5/-9'2- Park Dedication $ Final/O.P. SIGNATURE I work I agree to perform all work pursuant to rules governing the described construction. ADDRESS {ll(.~ 'DATE ' .;i?33 -- !SC7~ TELEPHONE # ADDRESS ..:)~b 4~~ ~1l ~ D ~Lc~ It&= OF 1l0llK C~ /Z-'" ~U NEtl :! R!P AIR PLmmINC PEDIT APPLICATION DAD 0/yft :2-- PEIHIT' PLmmD.' '() ~ 30 7<;C 7 SAN SEY # , WAn:R Bachcub 7 ~ Sump Purno sm. Lavatorv Ej ector I Toilet Water Softener I INSP!: C"I"! ON DA'I'!: INSPEC'nON DAn: Xi t . Sink Drinkin Q Fountain o/o/7Y Sinldother) n...; n::l 1 ,- W::tterheater Slop Sink (- Grease Tran Floor Drain Local Waste Laundry Tub Site Drain Disnosal Laundrv Standpipe Dishwasher Catch Basin IN'l'EllIOB. ** Violat:ion not:es on the reverse sidet