HomeMy WebLinkAbout0031671-Plumbing (correct orders)~ CITY OF OSHKOSH N° 31671
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~] SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
~30C7
OWNER ~ ~~
DES
PLAN NO.
USE/NATURE OF WORK ~ ~~~`"""''
BUILDING CONTRACTOR
Size
Foundation
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Class of Const.
- Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
PLUMBING CONTRACTOR
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
Volts
BTU'S
Amps
Circuits
~ Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ~ ~ ~~ ° ~ Permit Fee Paid $ ~~ ~ ~ ~ Park Dedication $
ISSUED BY ~ Date ~/ ~ 3 ~ Z Final/O
P
.
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~
AGENT/OWNER D TE
ADDRESS ~~ ~ ~ 11~F~ ~ ~' ~S-'t-(~ 4 S
TELEPHONE #
Sq. Ft. # Rooms # Stories
/3O o
OWNER
NATDRF OF WORD
NEi~i RELA4
PLDMSII~G PERMIT APPLICATION
,,,,_, DASE Jz z ~' ~ _ PE T# ~ ~ ~' 7 ~
PLDMBEB
REPAIR 2NTERIOg
S # #
WATER Bathtub Sum Pu
Lavsto E'ector
Toil t Water Softener
OATS INSPECTION DATE Ki.t. Sink Drinkin Fountain
Sink other
//
~~2 W to a ter Slo Sink
y e se Tra
Floor Drain Local Waste
Laundry Tu Site Drain
~ Dis osal Laundr Stand i e
~
`~ ~ Dishwasher Catch Basin
** Violation nnte• on the reverse side