HomeMy WebLinkAbout0027107-Plumbing (interior) CITY OF OSHKOSH N° 27107
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS m lc 7 PLAN NO.
OWNER -C R4 i
i
DESIGNER
USE /NATURE OF WORK C 9`
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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 WH Disp WSoft CBasin
Lav _L Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
i Sink LTub Eject SS Water
Other f7 r C 14 J./.e..-
FEES: Valuation /800.0 0 Permit Fee Paid /02 v a Park Dedication
ISSUED BY Date 3/ 9 7 Final /O.P.
In the performance of this work I agree to erform all work pursuant to rules governing the described construction.
SIGNATUR Z—
AGENT /OWNER 7 DA
ADDRESS t;± 2-S ca L L) c 31e 0
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS F DATE g— 3 9 PERMIT4f .2 7/ 0 7
OWNER 41 PLUMBER Z C /e,e --ee
NATURE OF WORK
NEW RELAY REPAIR INTERIOR
SAN SEW I
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
1 Sink(other)&410-”' Site Drain
kit 6-/ IIT .g `4h Shower Laundry Stand Pipe
Floor Drain Laundry Tray
i 0 H /6 Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
Violation notes on the reverse side]