HomeMy WebLinkAbout0029026-Plumbing (interior) CITY OF OSHKOSH N°_ 29026
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGA ZONING FLOOD PLAIN HEIGHT
4 GJ1 //6j
ADDRESS 7 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /OS h
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 S
BT WH Disp WSoft CBasin
av Sh i DW DF San. Sewer
WC I_ FDr _L SP Ur Storm Sewer
Sink LTub Eject SS Water
Other f -7 /TC
FEES: Valuation 3 O 45 Cs 6 Permit Fee Paid T c�
0 6 Park Dedication
ISSUED BY Date 6 K- 2 Final /O.P. 7-1
7
In the performance of this work I agree to perform work pursuant to rules governing the described construction.
SIGNATURE dI7� C i
AGENT /OWNER DATE
ADDRESS_ /vl -dv
TELEPHONE
l 3 DICING PERMIT APPLICATION
ADDRESS DATE TO 2 90 2-C
u
NATURE was /L/S f
NEW RELAY REPAIR RIOR
SAN SEW 1
1 1 I# 1
WATER I
—fri -J Su Pu
Lavato E'ector
INSPECTION 9 Water Softener
DATE INSPECTION DATE, Kit. Sink Drinkin Q Fountain
Ot C Sink Urinal
Waterheater Slop Sink
r it Shower Grease Trau
1 Floor Drain Local Waste
Laundry Tub Site Drain
�P
Disposal Laundry Standpipe e
,Dishwasher I Catch Basin
f 1
Violation notes an the reverse side]