HomeMy WebLinkAbout0030430-Plumbing (interior) CITY OF OSHKOSH N°_ 30430
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG] SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 0 P C_-=, PLAN NO.
OWNER 74-z--1 /7 4-1-1-1-11
DESIGNER
USE /NATURE OF WORK
/(ts'r= le l
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
r _y_____
PLUMBING CONTRACTOR
1 BT WH 1_ Disp WSoft CBasin
v
Lav Sh DW DF San. Sewer
WC FDr f SP Ur Storm Sewer
L Sink L LTub Eject SS Water
Other if CR19 0, „i:9-
FEES: Valuation K� 0 O 6 Permit S-6 O 6 V
ermit Fee Pai Park Dedication
ISSUED BY Date 2 s' .9 -a-- Final /O.P. H0 9.'q
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE lJ /9 Z
A G T /OWNER DATE
ADDRESS
TELEPHONE
PLUMING PERMIT APPLICATION
ADDRESS 36,c_?
3 0 .et.zti. DATE g Z �T#
OWNER P �I =Eg
NATURE of WORK �S F,C
NEW RELAY REPAIR RIOR
SAN SEW 4
WATER Bathtub Sump Pump
`44 A, 2 Lavato 1i E' ector
2- Toilet 1/ Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink 1 Drinking Fountain
Sinktother) Urinal
tJ Waterheater l Slop Sink
l Shower Grease Trap
q Floor Drain 1 Local Waste
p 2 i 0 3 Laundry Tub j Site Drain
d .Disposal 1 1 Laundry Standpipe 1
Dishwasher r Catch Basin
Violation notes on the reverse side( 0