HomeMy WebLinkAbout0029270-Plumbing (sink)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
29270
TYPE:
BLDG D HTG D ELEC D PLBG AJ SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
;2-]. Y.s- f3~
K~~
PLAN NO.
ADDRESS
DESIGNER
/
~~~~
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_
'fi
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
G-- 4Ja~
_WC
~Sink
_FOr
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
~
_BT
_WH
_Sh
_San. Sewer
_Lav
_Ur
_ Storm Sewer
_ L Tub
_ Eject
_SS
_ Water
Other
/
v/
FEES: Valuation $
/S-O,C)(!J
Permit Fee Paid $
Date
/'0 . ~.o
Park Dedication $
ISSUED BY
/AJ/?-
&//Y/7?--
/ /
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR9&-"A-^-1 ~
l AGENT/OWNER
6 ,-{ cP~ C[J-
DATE
ADDRESS
TELEPHONE #
PLtJHBINC nDIT APPLICATION
ADDRESS .2 3 c-/ 5~ f5 ~-~ DAT!: 1- / S- - Jl.2.. l'EBHIT# ;7"}';J 7 0
OWH!R I( .~V--~ /-/-e-..~...&2--_ If PLmmU . 6-. ~~~
NATC1l! OF WOIlC ~r;--;-7-'---r/ .4--r__r<~
NEtl RELAY UP AIR IN'1'EllIOB.
gAN SEll # I
wA'IEll Bathtub Sumn Punm
~1='!tJ I.4va t01:"lr Ej ector
Toilet Water Softener
!NSP~cnON DATE msncnOR DAm Kit. Sink Drinkin lOt Fountain
F 1- IS'-' I Sinld 0 ther } n . ~~,
W;:lterheater SIan Sink
Grease Tran
1- Floor Drain Local Waste
Laundry Tub Site Drain
'" Disoosal Laundrv Standoine
Dishwasher Catch Basin
** Violation notes on the reverse side!.