HomeMy WebLinkAbout0040925-Plumbing (interior)CITY OF OSHKOSH
n PERMIT -APPLICATION AND RECORD
~l~
N°--40925
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~ ,Q PLAN NO.
OWNER
USE/NATURE OF WORK ~~
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height .
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
PLUMBING CONTRACTOR ~ GZ~~~~
yBT ~ WH ~`` Disp
U Lav _ Sh C pW
~WC ~ FDr L Sp
f Sink ~-L~rib~r~ _ Eject
Other
- WSoft - CBasin ~'~~
- DF -San. Sewer
- Ur _ Storm Sewer
- SS _ Water
FEES: Valuation $ 70 ~ ` O O Permit Fee Paid $ `~"Z ' ° ~ Park Dedication
ISSUED BY ~ 3 ~'~ ~~
Date Final/O.P. ~ ~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNA
Volts Amps
Circuits
~-~~~4
DATE
ADDRESS
TELEPHONE ~
~d
OWNER `~
N:TQBE of wow
~` ~~~~ o o ~- ~S ~ : o c~ ~~d
~~~c PEar~r a~~cATioN
DAB 3 3i PERNST# ~'~'~ ~
PL~IDE$ ~,~
'~~~ - ~~=
RELAY REPAIR
ox
SEi~T # #
WA1ER Bathtub Su Pu
} Lavato Ejector
Y Toilet Water Softener
ON DATE INSPECI'I01~ DAZE Rit. Sink Drinkin Fountain
Sisk(other
~~ ~~~ W to heater Slo Sink
G e se Tra
S'/ (~ ~ Floor Drain • Local Waste
Laundry Tu Site Drain
~/~9/ y' ~L Dis osal ~ Laundr Stand i e
Dishwasher f Catch Basin
** Violation Hate. on the reverse side