HomeMy WebLinkAbout0024291-Plumbing (interior) CITY OF OSHKOSH N9 24291
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 02
PLAN NO.
OWNER z2-,
DESIGNER
USE /NATURE OF WORK Nom` r
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 O
v
BT WH Disp WSoft CBasin
tav ySh 1 DW DF San. Sewer
WC _L FDr SP Ur Storm Sewer
Sink LTub �L- Eject SS Water
Other iy ertet"r21-.9-
d o O D
FEES: Valuation Permit Fee S O
e ee Paid Park Dedication
ISSUED BY w Date 7 -7 Final /O.P.
In the pertormanc f this work 1 agre t orm all work pursuant to rules governing the described construction.
r
SIGNATURE g/
A GENT /OWNER DATE
/J 3 95/:
ADDRESS 2 7 e-/7 gsllikices .23/ Y .7c
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS 4; 0 S C `4 4/ 6 al DATE S PERMIT 2,1. 5 i
OWNER
SLUMBER 6 rer7C 0 fl
NATURE OF WORK .S r
/c
it- 7
NEW RELAY REPAIR INTERIOR
SAN SEW i /k
WATER Bathtub i'I Catch Basin
STORM SEW Lavatory Grease Trap
3 Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
F Q T -2 Sink(other) Site Drain
v rl 2-Sho w Laundry Stand pipe
02- Floor Drain/ Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
'Urinals outlets
J Violation notes on reverse side r,„r
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