HomeMy WebLinkAbout0028211-Plumbing (interior) CITY OF OSHKOSH N°_ 28211
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG a_ SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 7 j�L c e%1 PLAN NO.
OWNER
DESIGNER
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USE /NATURE OF WORK /Z tJ 3'",i (i,.,il 7 T i/'
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 ,1
2_BT WH Disp WSoft CBasin
_.---Lav Sh 4_ DW DF San. Sewer
ZINC FDr _t_ SP Ur Storm Sewer
Sink LTub Eject SS Water
Other A(,11
or:'•
FEES: Valuation Permit Fee Paid 4 ffAmv Park Dedication
ISSUED BY Date Final /O.P.
In the performance of t''. work I agree to •erfo all work pursuant to rules governing the described construction.
0 L SIGNATURE A AIL L u s ,c)- 73a pat Qs
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLDmme PERMIT APPLICATION
kDDRESS. %.2 3 1 l/t S el DA /9._ PERMIT#
OWNER V e. p-7 G-- PL MBER Imo- i� AA 6i9L�
NATURE 07 WORE S f
NEW MAT REPAIR INTERIOR
SAN SEW
WA, R Bathtub 1 f Su t. Pu WO
A. MI Lavato Ejector
pipet 1/ Water Softener
INSPECTION DA► INSPE ON DATE Kit. Sink Drinking Fountain
,Q�� .-3 Sink(other) TTrinal
Q� Waterheater l Slop Sink
UUU Shower Lease Trap
R Floor Drain Local Waste
Laundry Tub Site Drain
I 7 Disposal l Laundry Standpipe P
Dishwasher Catch Basin
IA) 4- g5 I))14 1 46
1 4- Or OF../ Ar
Violation notes on the reverse side