HomeMy WebLinkAbout0026644-Remodel Bathroom
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26644
TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT
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ADDRESS
~
/3;7 h
A"Li6\ ~
PLAN NO.
OWNER
DESIGNER
~~(r)~; ~~.~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
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
(/
'" ~9~_
c _BT _WH _Disp
h _Sh _DW
_Lav
~ d-- WC -L FDr
_SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_DF
_ CBasin
tAJ?-
_San. Sewer
_Ur
_ Storm Sewer
_ Water
_SS
/
I
FEES: Valuation $ I SO (1. ,~ 0 Permit Fee Paid $
ISSUED BY W ~-4- Date
.;>- C> ,c" (,)
/ :J- - / I -? I
Park Dedication $
Final/O.P. ) - '7 - 9:2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~ tiC.~
/ AGENT/OWNER
/YlJj S pr",- (~ J h
/~ -11- 9' I
DATE
)33--(/7'7
TELEPHONE #
ADDRESS
'~LUMBING PERMIT APPLICATION
ADDRESS / 3-? ~ . . . . DATE I J-- / /- 9/ PERMIT#' ;;L. t,. c y;c-
OWNER J( L (( R. .. . ~~ PLUMBER Tr" ~----
NA'IlJRE (JJ! WORK R~) ~ q<- a.h(I) ~ ..
NElv RELAY REPAIR INTERIOR
SAN SEW #' tl
WATER Bathtub Catch Basin
~.,.nRM sm 7- r.tava ton '" Grease Trat)
:2- i-'roilet II I S umt) Pump
INSPECTION DATE INSPEcnON DATE Kit. Sink Local Waste
(\:r: 12-/3 Sink(other) Site Drain
Shower Laundry Stand hpe
I Floor Drain I Laundry Tray
r I -' <1 -' '12-- Disl)osal Wat.Softner
Dishwasher D. Fountain
t, Water Heater I Ejector
TT.,..;nal!'l Future outlets
..
,
,
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1** Violation notes on the reverse side{