Loading...
HomeMy WebLinkAbout0033169-Plumbing (interior) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD y/o 33169 ~ N2 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ J~'~ ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ 3o~~ 7 p~ /1~~~ {j ~L, ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK /1/ S,? F . &-~J~ f . BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Cons~. HEATING CONTRACTOR Heat D NC 0 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 4 ~i.... v_ 'sT ~ WH -L Disp 5" Lav _ Sh ---.L ow -1- WC 2=-FDr -L SP LSink f~ _ WSoft _OF ~c/ _Ur _ CBasin _ San. Sewer _ Storm Sewer FEES: Valuation $ ISSUED BY }lsoo -0 0 ~ /-A~wd!;:::t/~ _SS fhT= '/"}1''/ 7 ~ / "7 b . () 'e; ( Date 3.- .7:s- .. 9 .3 I _ Water Other Permit Fee Paid $ Park Dedication $ Final/O.P. lj.cJ9-9.3 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE p~du1J {(& c2 Lj f/ ~ (! L3 ~t/t:IA4 . ,J ~. 4 0 ~I /.-5 ?4./ /t:at:6 ',S' <h? CI;/ "? C\- G'--? .:::> - ;2...) -;...:) DATE iJ35'~ 9977 TELEPHONE # ADDRESS ,#. <I->:j"-- /7 . F/o , or< - ,pommING PEIHI'% APP.LICA'rION 77 ADllBESS -'o.:Js:-IiL~r jJ~ JW:E.z - / ~. 3 3/b t. :OF~f~:;~~~ ~~;1 b'f,O~fJLj 'I NEti RELAY IEPAIlt IB'mllIOR DA'm fZ l 3 ~ 3-;L{:> Lj-J--GJ msncnorr .;J- S- DA'm " ~ Viola~ion noees on the reverse sidet