HomeMy WebLinkAbout0037943-Plumbing (leaky water seervice) CITY OF OSHKOSH
No 37943
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGA SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS V Y 4 PLAN NO.
OWNER Sr /7
DESIGNER
USE /NATURE OF WORK R G ---r..—a---z---z__-4_—e-
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
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 a Permit Fee Paid fV O G� Park Dedication
ISSUED BY g Date 0 73 Final /O.P. 9/...3/9,
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE V
AGENT WNER DATE
ADDRESS
TELEPHONE
PURSING PERMIT 3/ 3 PURSING PURSING
ADDRESS, 6 9 '4 DATE 2/3 7 3 PERMIT# 37y KI?
OWNER -CT .‘140 PLUMBER S
NATURE OF WORT.
AV
NEW
REPAIR INTERIOR
SAN SEW T
WATER Bathtub Sump Pump
Lavato E ector
To'let Water Softener
ItSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
q q i Sink(other) Urinal I 3 3Jaterheater Slop Sink
Shower Grease Trap
,Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side(