HomeMy WebLinkAbout1995-Plumbing (xtra fxts)CITY OF OSHKOSH
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG
ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK
N°_ 43922
SIGN ❑ ZONING FLOOD PLAIN HEIGHT
.: --------------------------- - - - - --
PLAN NO.
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 Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
Permit Fee Paid $
BT
_ WH
Disp — WSoft
_Lav
_Sh
—DW —DF
_WC
— FDr
_ SP _ Ur
— Sink
_4�_ LTub
— Eject _SS
Other
!/ CBasin
—San. Sewer_
— Storm Sewer
— Water
C-I_
FEES: Valuation
Permit Fee Paid $
f
Park Dedication $
ISSUED BY
Date
�- '�, �,c'+—
Final /O.P.
In the performance of this wP I agree to
r
SIGNATURE
ADDRESS
work pursuant to rules governing the described construction.
A(CFNT/n M1JrR
DATE
23v d
TELEPHONE #
OWNER
NATDRE OF WORz
f`i i11
pEM= APPLICATION
DATE
RELAY REPAIR INTERIOR
�s- PEMaT#
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' - 44 .�. i
WATER
Bathtub
sump Pu
STORM SEW1
Lavato
Ejector
INSPECTION DATE INSPECTION DATE
Toilet
Water Softener
Kit. Sink
Drinkinje Fountain
Sink other
Ldaterheater
Slop Sink
G e se Tray
Floor Drain
Local Waste
J
Laundry Tub
Site Drain
Disposal
Laundry Standpipe
Dishwasher
Catch Basin
' - 44 .�. i