HomeMy WebLinkAbout0031648-Plumbing (interior) CITY OF OSHKOSH N 31648
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG k SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS .2 .57.5 fri/ /4/ PLAN NO.
OWNER
Q 7
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DESIGNER
USE /NATURE OF WORK /10/ F k
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
I BT (WH Disp WSoft CBasin
3 Lav Sh I DW DF San. Sewer
WC I FDr r SP Ur Storm Sewer
Sink LTub Eject S Water
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Other Ct ,Z�
FEES: Valuation 3 70 0- O Permit Fee Paid C" 0 0 b Park Dedication
ISSUED BY Date 3`5' 2 Final /O.P. a9
In the performance of this work I agree to perfor all work pursuant to rules governing the described construction.
SIGNATURE
j S ,c)- i N 3 °z,-
AGENT/OWNER 1 2 DATE
ADDRESS 5 -D ii 6 C(�.lidiedy p A, 7 J C �_U.L'a
t TELEPHONE
1
ADDRESS,
mBric PEBZIIT APPLICATION
ADDRESS
DATE s` 7r, 3 Kg
OWNER PLUMBER v"-
NATURE OF Won s',,-
NEW RELAY REPAIR ANTERIOR
Its :w A. Sum. Pu
Toilet E'ector
C'�ZON DATE INSPECTION Water Softener
DATE Kit. Sink
I/ Sink(other) Drinking Fountain
l Urinal
4)/ Shower Slop Sink
l� O S r 1 Grease Trap
Floor Drain Local Waste
l c� Laundry Tub Site Drain
r ;a- 9 Disposal Laundry Standpipe
Dishwasher Catch Basin
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