HomeMy WebLinkAbout0030427-Plumbing (interior) CITY OF OSHKOSH N°_ 30427
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGF SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1/16 PLAN NO.
OWNER 74-47
DESIGNER
USE /NATURE OF WORK N-S f~ ,/„...,,,,,,Z
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 p
t BT WH _L Disp WSoft CBasin
3av Sh r DW DF San. Sewer
3 WC FDr 1 SP Ur Storm Sewer
Sink LTub Eject SS Water
Other /9C f10 zf
r se's
6o. ®a
FEES: Valuation tt.g''' rip 6 c) Permit Fee Paid Park Dedication
ISSUED BY Date S_ --'72--"linal /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i. E jb,s ir
6, /0 ER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS /2 r ter DATE 49. -2 S� Z RICET# 36.'---.7 OWNER PLUMBER h
t
NATURE OF WORT A.SI
NEW RELAY REPAIR INTERIOR
z
WATER i Bathtub Sump Pump
A. 3 Lavato Ejector
3 Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) urinal
Waterheater Slop Sink
K _-_-c: Ai Q Shower Grease Trap
�T t ,Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
____I
4/ 90-7L-
Dishwasher Catch Basin
0 r A 0 1 S 4 9X '1 7 4 i ;erg/ %)ki.gl_),,/-&-,-- Ali 3
.....e...--r—e.,-,---/
Violation notes on the reverse side]