HomeMy WebLinkAbout0018645-Plumbing (interior) 46) _CITY OF OSHKOSH N° 18645
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Est SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 136 7W a /t"cn PLAN NO.
OWNER G��YI Zef CA/ E�'
DESIGNER
USE /NATURE OF WORK i-d At !l,Y2 A!
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 4Z/0-6,
g BT j WH e Disp WSoft CBasin
e Lav Sh 6 DW DF San. Sewer
8 WC FDr SP Ur Storm Sewer
Sink Ott& Eject SS Water
Other
.3
00 oy
FEES: Valuation /66(i0 Permit Fee Paid 4 R'-" Park Dedication q
ISSUED BY Date 5 7 2 `96 Final /O.P. P
In the performance of this work I agree to perform all work pursuan::o rules governing the described construction.
SIGNATURE 0 CL 6' r-2-(-10
AGENT /OWNER DATE
ADDRESS
TELEPHONE
C_../�` e PLUMBING PERMIT APPLICATION 7`
ADDRESS /3 sp?_r� C.L v DATE --V f i zz PERMIT# /`e
OWNER I N.
PLUMBER ei./',Z'S
NATURE OF WORK 4
NEW RELAY REPAIR INTERIOR
SAN SEW WATER s- Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
A' Toilet Sump Pump
INSPECTION DATE INSPECTION DATE S Kit. Sink Local Waste
3u J/‘ i/ p Sink(other) Site Drain
'7' Shower -2 Laundry Stand Pipe
z Floor Drain Laundry Tray
/\"'S S /7 /CV S Disposal Wat. Softner
e Dishwasher D. Fountain
Water Heater Ejector
c 2/4/7t Urinals Future outlets
f** Violation notes on the reverse sidel