HomeMy WebLinkAbout0028947-Plumbing (interior) CITY OF OSHKOSH N2 28947
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ,e6
Q j/ PLAN NO.
OWNER C.C�
DESIGNER
USE /NATURE OF WORK N S Fi 7
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 IC? P1
1 BT WH Disp WSoft CBasin 54
Lav Sh DW DF San. Sewer
WC FDr _L SP Ur Storm Sewer
i Sink LTub Eject SS Water
/7'e e
Other /Q�
FEES: Valuation 3/a O. 4 a Permit Fee Paid s4 O O i Park Dedication
ISSUED BY fii/e- Date G//9 Z Final /O.P. (0/ 7 2
In the performan i f this work agr to orm all work pursuant to rules governing the described construction.
1
SIGNATURE 1 t 'it-Z-7
P I cZ Z.
61-)s-TrVioril, AGEN /OW NER tv DATE
ADDRESS z r)s-fiko. 1
2.3 I 2-0-3
1 TELEPHONE
ADDRESS
kJ PLYING PERMIT APPLICATION
OWNER 1 DATE 3 S z MIT, B
SLIME OF WORE ti S fie a
INTERIOR 7
MIIIIIIIMIIIIII
WA R Bathtub
r• :44 A. L Eu or
�i e E ctor
INSPECTION DATE Water Softener
Drinkin Fountain
0
Slo. Sink
-se Ta•
/C Floo Drain
Laundry u. Local Waste
Site Drain
MI Dis•osal Laundr Stand.i.e
lail Dishwasher Catch Basin
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