HomeMy WebLinkAbout0031436-Plumbing (addn fixtures)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
31436
DESIGNER
FLOOD PLAIN
HEIGHT
TYPE:
BLDG 0
OWNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.,
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
,;
;}
;t'
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
_Lav
_WH
_Sh
~/~
(/ _ Disp _ WSoft
PLUMBING CONTRACTOR
_BT
_ CBasin
~
_WC
_Ur
_San. Sewer
_ Storm Sewer
_Sink
Other
_FDr
L L Tub
_DW
_SP
_DF
_ Eject
_SS
_ Water
FEES: Valuation $
ISSUED BY
It? 0 ,00
~.
Permit Fee Paid $
Date
~._() 6
to/~ <V7' J--
/ {
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 !#riJ? ~~h
I' NT NER
ADDRESS
/,/24hz-
. DATE
TELEPHONE #
11 {go
.\DDRESS
CTWNER Z
NATCllE
5(" ~3h
SAN SEY # I
iJA'!ER Ba~h~ub Sumn Pumn
C::~ Lava~m Ejector
Toile~ Water Softener
tNSPEC'nON DAn: tNSPEC'r.tON DA'l'Z Ki~. Sink Drinkin Q' Fountain
.- Sink (0 ther )
lho;n<l
,): p 7-c?S- W~terheater Slop Sink
Grease Tran
Floor Drain Local Waste
/ Laundry Tub Site Drain
Disposal Laundry Standpine
Dishwasher Catch Basin
RELAY
REPAIR
*'* Viola~ion not:es on the 1:'everse 9ide{