HomeMy WebLinkAbout0029027-Plumbing (interior) CITY OF OSHKOSH N°_ 29027
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG
Ai SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Ks"" j�••�+► PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /0� V�
5 Q
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR s c i c
B T WH Disp WSoft CBasin
3 Lav P Sh _L DW DF San. Sewer
2---WC FDr SP Ur Storm Sewer
4 Sink LTub E' ct SS Water
Other i 61C f—tr—
�C 0 0 S 6 o a
FEES: Valuation Permit Fee Paid Park Dedicatio _q
ISSUED BY (A.1 Date 6 /0 Z Final /O.P. 0 Z,
In the performance of t work I agree to perform .II work pursuant to rules governing the described construction.
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SIGNATURE L.... .2 C
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AGENT /OWNER DATE
ADDRESS 74?.? l wit j 2 ?o C 1 -06
TELEPHONE
PL' INC PERMIT APPLICATION
ADDRESS 1 �5 am..m A
OWNER
(fir DATE PE T# 9 a 7
NATURE OF WORE /L�.S' f=
i RELAY REPAIR
WA.
liglIELITIMMir
ON DATE E'ector
DATE INSPECTION DAZE 0 En Water Softener
(I j to s� o l r Drinkin Fountain
QT �t �1 e Sl Sink
/fig ,1 a 3 j Floor Drain c a l e st
1111 Laundry Tu. Local Waste
Dis.osal MI Site Drain
NMI Dishwasher Latch Stand.i.e
Catch Basin
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-.a-a-x-1..1i pesz, A 0 ff 7 .24 7
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