HomeMy WebLinkAbout0028943-Plumbing (interior) CITY OF OSHKOSH N° 28943
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG pcf SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /0 K7 PLAN NO.
OWNER 41 dG-✓''°7
DESIGNER
USE /NATURE OF WORK /1o. FQ ,Z,
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 '7 Pe a
I BT WH Disp WSoft CBasin
3 Lav A Sh DW DF San. Sewer
3 WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other /4 C LJ ,J tc
FEES: Valuation 7" g o O O 0 Permit Fee Paid o
Park Dedication
ISSUED BY EA)- Date 4.///7 2 Final /O.P.
In the performance o i s work I as ee to erf• all work pursuant to rules governing the described construction.
SIGNATURE L 0 (.0 2
W AGENT /OWNER n jDATE ADDRESS 2 1(O 6) 2-ST 7 14 ®s v id S FI Igo s i-i W 1 YZo
TELEPHONE
DMINC PERMIT APPLICATION
ADDRESS. -2`,‘9 LJ DATE 3 7 z PE TO 2•g
OWNER X w
NATURE Or WORE Aj S 1,—,_-_,Z.,
NETJ RELAY REPAIR RIOR
SAN SEW
;CATER 7 Sump Pump
SSVEN SEW 3 Lavatory /If Ejector
...,4_,,741,3i11,5_2# Water Softener
INSPECTION DATE INSPECTION DATE Rit. Sink Drinking Fountain
i 6- Sink(other) Urinal R �laterheater Slop Sink
Shower 01 Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
._L Dishwasher Catch Basin
iiii_r__0---p 0 o Q
Violation notes on the reverse side( 1