HomeMy WebLinkAbout0041849-Plumbing (interior) CITY OF OSHKOSH N° 41849
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /S l PLAN NO.
OWNER --P� c-r /1-f 4 774
DESIGNER
USE /NATURE OF WORK 1 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
BT 1 WH Disp WSoft CBasin
2- Lav _L Sh DW DF San. Sewer
WC _L FDr _L SP Ur Storm Sewer
Sink 1 LTub Eject SS Water
Other %Ctk/4- &x,, fly J�`
U
FEES: Valuation
Permit Fee Paid a d Park Dedication
ISSUED BY Date Final /O.P. d a/ 9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE d/d ii 1 3 il36/1/1(
1 GE /OWNER DATE
ADDRESS
TELEPHONE
D
PERMIT APPLIC.ATtON� �E�T# T /g��
AaaxESS
OWNER PLUMBER
NAT= 07 WORE /Vf.
NEW RELAT REPAIR INTERIOR
SAN SEW
WATER 1 Bathtub l Sump Puuv I
A 2 Lavato 1 E'ector
Toilet /I Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink 1 Drinkin g Fountain
Sink(other)
(4 C9 /k r�'�`� c- Waterheater Slop Sink
9 /2 Z Shower 1 Grease Tran
Floor Drain
Laundry Tub Local Waste
Site Drain
Disposal Laundry Standpipe
V ..26 d- O o Dish ash j Catch Basin
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S f 7.s.— v
le* R .i_ .t„ d it i S1`