HomeMy WebLinkAbout0027053-Plumbing (interior)_CITY OF OSHKOSH N°_ 27053
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG
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ADDRESS ~O ~~ ~'/ ~~~
OWNER
DESIGNER
USE/NATURE OF WORK ~ " "~`^~
SIGN ^ ZONING FLOOD PLAIN HEIGHT
-----------------------------------------
~'~' PLAN NO.
/` /~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
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
Volts Amps
Circuits
PLUMBING CONTRACTOR
BT ~ WH ' Disp WSoft CBasin
?Lav ~ Sh ~ DW DF -San. Sewer
WC ~ FDr ~ SP Ur _ Storm Sewer
Sink LTub Ej ct SS -Water
Other ~ ` C-~ ~--t.~__s~
Y
.l~~ ~ ~
FEES: Valuation $ ~Td d , ~ a Permit Fee Paid $ ~ °2 ` ~ ~ Park Dedication $
ISSUED BY ~ Date ~ - ~~ ~ 9 Z' Final/O.P. 3' ~ 7 - `i a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
-Z - Z
DA E
TELEPHONE #
ADDRESS ~~~-1L_=
OWNER ~ JL--
NATURE OF WORK ,(1 ~
S ~' ~
~~ ~~ 1~
~ -~ ~~~9z
'~"~` he rev s side
PLIJI~ffiING PERMIT APPLICATION
~ DATE //- i 3 " y/ PERMITS 'Z-~0.~3
~ PL,UM~ER G~G~--F%f~-~-i-
Bathtub batch Basin
Lavato Grease Tra
Toilet ~ g p
Kit. Sink Local Waste
Sink other Site Drain
Shower Laundry Stand
loor Drain Lauad Tr
Dis osal Wat. Softner
Dishwasher D. Fountaia
Water Heater Effector
Future outlets