HomeMy WebLinkAbout0024788-Plumbing (drinking fountain)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
24788
ADDRESS
SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
TYPE: BLDG 0
OWNER
s::~
~fN NO.
DESIGNER
~~ ~-F
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
~-.p
f
PLUMBING CONTRACTOR
j)
~ &-4ar-
_ Disp _ WSoft
_ CBasin
~
_BT
_WH
_Sh
_DW
_SP
-LDF
_ San. Sewer
_Lav
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
.Iooe ~ <0
FEES: Valuation $ ~ "permit Fee Paid $
ISSUED BY ~ .. Y Date
1/
/
,<6 ,0 C ,//
9;--1.:J--9/
Park Dedication $
Final/O.P. J-J -9/
I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~~ 1 de
's"2/" . Pc~
AGENT/OWNER
&/ t2- /Cf I
DATE
ADDRESS
it
lJ.-7? '- (; Lkze 1:\/e.-
r
?~5" - '-\f14]
TELEPHONE #
fie
~
~
PERmItF
7- ~?~:I
NElv
INSPECTION
DATE
INSPECTION
DATE
tF
Bathtub
Lavato
Toilet
Kit. Sink
Sink{other)
Shower
Floor Drain
Dis osal
Dishwasher
Water Heater
PJ.pe
F
g~:l-
1** Violation notes on the reverse sidet
x)