HomeMy WebLinkAbout0029847-Plumbing (interior) CITY OF OSHKOSH N 29847
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG AK SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /.2 ..5-1.3 w Z
PLAN NO.
OWNER A -ee_,/ d.0.-,-7
DESIGNER
6 /4
USE /NATURE OF WORK s Ek
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 �'s-w1 T`�
BT _L WH Disp WSoft CBasin ,T
__L Sh ___L DW DF San. Sewer
NC FDr SP Ur Storm Sewer
__L Sink LTub Eject SS Water
Other a4) �r�/ fr
FEES: Valuation 3 'Le) O a d Permit Fee Paid .61 Park Dedication
ISSUED BY Date 7 "72- Final /O.P. 7 c 9a
In the performance of this work I agree t erform all work pursuant to rules governing the described construction.
SIGNATURE ��S 7—L2-3---,4
AGENT /OWNER DATE
ADDRESS .5 /7 /5e z/4..cZ 47 L.4...../5. 2
TELEPHONE
i MING PERMIT APPLICATION
ADDRESS /�-s3 l 3 I�' DATE --3 2 PE T# aL 7g'
OWNER
PLUMBER 5 s- 6
NATURE of wax /as,
NEW RELAY REPAIR INTERIOR
SAN SEW I r
WATER ER
1 Bathtub
y;� 1 Lavato 1 Sump Pu
E'ector
oilse Water Softener
LMLELGIIPN DATE INSPECTION DATE Kit. Sink Drinking Fountain
'A Sink(other) Urinal
7 4 Waterheater Slop Sink
',Shower Grease Trap
3 /711 /Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
F _Dishwasher Catch Basin
1) 14.---1, ctii -7--e----A,l'-e, If ,..-„1-1
Violation notes on the reverse side]