HomeMy WebLinkAbout0032223-Plumbing (xtra fxts)CITY OF OSHKOSH N° 32223
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~ D ~ c PI AN Nn
OWNER
DESIGNER
USE/NATURE OF WORK
> J ~`
~ ~- M
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 ~
- BT WH Disp
Lav ~ Sh _ DW
-L WC _ FDr SP
-Sink _ LTub Eject
Other
Volts Amps
Circuits
- WSoft
DF
Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation $ '3~ ° ' ° ° Permit Fee Paid $ ~"~ ' ~ ~ Park Dedication $
ISSUED BY '~ Date ~ } 'z ~ 7Z Final/O.P. ~~' ~ / ~ /a'
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
l Z -2 5'Z
D E
TELEPHONE #
.~
OWNEB L..~ S
NATDRE OF Wow _
~aav
PLDl~INiG PERi~'! APPLICATION
DATE ~ ~ 3
' ~
~~
_ t o _1 A
na~t eo vase s ~ T1Q'1'1rflT AR
3 ~- ~ ~-~
~1A R Hathttib Su Pu
Lsvato E"ector
' et Water Softener
CTZON DATE Bit. Sink Drinkin Fountain
Siak other
~ e ter Slo Sink
////9~9 L 1
~ e T
Floo Drain Local Waste
~'% Laundry u ~ Site Drain
,,_;~yV ~ Dis osal Laundr Stand i e
~ Dishwasher Catch Basin
' •~~ - •i• z-u r