HomeMy WebLinkAbout0033098-Plumbing (intrior) X/0
CITY OF OSHKOSH N2 33098
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGK SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS a K 7 CV PLAN NO.
l
OWNER
4 :::REOFWORK
S� R ar-a-e--;•Z- r4
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 t--- ,y f 7
1 BT __I WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC j_ FDr _L SP Ur Storm Sewer
_L Sink LTub Eject SS Water
Other f C iz- r----r-
FEES: Valuation gon A Permit Fee Paid 3 4' o 0 d
Park Dedication
ISSUED BY Ole Date 3 2 2 Final /O.P. '9/7.0/9 3-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,9_ 7 if
AGENT /OWNER DATE
ADDRESS A_ fj7,7,�rr.`./ 2 ?o -0
TELEPHONE
TDC PER1= APPLICATION
ADDRESS /,2 DATE 5 5 3 T# 3_ G' Jc
OWNER MEWSWISE .1 i- A Se if.--e7
NATURE or won ,4.4-c
NEW RELAY REPAIR 4 V OR
SAN SEW
WATER Bathtub
L Sums Puma
STORM SEW. S Lavatory/ Ejector
Toilet J Water Softener
INSPECTION DATE INSPECTION DAB Kit. Sink
Drinking Fountain
3e>
Sink(other) Urinal
N Cam yaterheater Slop Sink
Shower Grease Trap
pp
It. I 7/ L 1 ,Floor Drain Local Waste
Laundry Tub Site Drain
1(J
Disposal Laundry Standpipe
l ishwasher f Ca ch Basin
Violation notes on the a sLde