HomeMy WebLinkAbout0027530-Plumbing (interior)CITY OF OSHKOSH N° 27530
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~~ v' w
t
OWNER ~1 '`~ ~..-,-~~
DESIGN
USE/NATURE OF WORK
~ ~
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
PLAN NO
# 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
-~ Lav ~ Sh
WC ~ FDr
Sink ~ L
T
ub
Other ~
1
~ - ~C~
- Disp
DW
SP
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
-Water
W~
FEES: Valuation $-~ °b ~• ~ ~ _ Permit Fee Paid $ ~" ~ ~ Park Dedication $
ISSUED BY_ ~3 Date 3 ~ ~" 9 Z Final/O. P. 3 ° / ~ - % a
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #
~arQi aPprscA~o~
OWt4E8
NATOBE OF W0~
PL~LS ~ -~-`~
REZAY REPAIR u IN~HIOB
~ #
ETA Bitlitub Sum Pu
Lavato / E'ector
a' Water Softener
I1~SPEC'St01~ DAB Rit. Sink Drinkin Fountain
3 _~ siak other '
Q t e ter Slo Sink
~
Q s~L 3 - ~, e se ra ,_
~
/
T Floor Drain 1 Local Waste
Laundry u Site Drain
}- ~ , ~ 2-' Dis osal Laundr Stand i e
Dishwasher Catch Basin
~~
**_ violation rLr.. on tts reverse side ~ kS~ 1~= ~~~~ -o K