HomeMy WebLinkAbout0030645-Plumbing (xtra fxts) CITY OF OSHKOSH N9 30645
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG f SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS All P PLAN NO.
OWNER i i
DESIGNER
USE/NATURE OF WORK ---e-+-' GLael- e 7 �9 d 2- 7
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent p Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR "'L-
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation a Permit Fee Paid D O a Park Dedication
ISSUED BY Date Final /O.P.
In the performance of t 's work I agree to perform work pursuant to rules governing the described construction.
I
SIGNATURE _____r L44. ALI".__�,Al 11--
AGENT /OWNER DATE
ADDRESS_�SD 77 e4"1-14-%1---111 9 /'J"/ //Jy��� ?jO
TELEPHONE
?L LING PERMIT APPLICATION
ADDRESS i� s
i DATE 37- 9 RraTO 30 6 �5�
OWNER PLDMi S 4
NATURE OF WORE ....e r .2 0...x-
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER ,Bathtub Sump Pump
ve ''4 A. Lavaca E' ector
Toilet Water Softener
INSPECTION DAZE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
F k- g Waterheater Slop Sink
,Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
,Dishwasher Catch Basin
Violation not on the reverse side(