HomeMy WebLinkAbout0031641-Plumbing (interior) CITY OF OSHKOSH N2 31641
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG (l SI ZONING FLOOD PLAIN HEIGHT
ADDRESS /1 s7 /4/ V PLAN NO.
OWNER „7 9 7 dQ
DESIGNER
USE /NATURE OF WORK /f/ -SPU\
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 Y-
BT I WH Disp WSoft CBasin
Lav Sh f DW DF San. Sewer
I WC FDr SP Ur Storm Sewer
Sink LTub Eject .gyp— SS Water
Other 1 (--IA) d,,I 4___.,t,__
FEES: Valuation 2 �O 0 Permit Fee Paid 3 Park Dedication
ISSUED BY Date j 7 2 Final /O.P. ,7/O /9.3
In the performance dof this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE S 2 S 7 4
AGENT /OWNER DATE
ADDRESS s O e l�L '7id��.�l Ay. 7 .3(9
TELEPHONE
1 LING PERMIT APPLICATION
ADDRESS -2 S-- ...0.:. DATE Y PERMIT# 3 4
OWNER /11 ,.i•ER 41-
NATURE OF WORD S F 1
NEW RELAY REPAIR /INTERIOR
SAN SEW
WATER Bathtub 1 Sump Pump
STORM SEW. Lavatory r Ejector
Toilet 1 Water Softener
4 *19 DA' INSPECTION DATE Zit. Sink Drinkin Fountain
/it' Sink other Urinal
u R Waterheater 1 Slop Sink
'1 I ,Shower Grease Trap
l' Floor Drain Local Waste
Laundry Tub Site Drain
6 o Disposal
I Laundry Standpipe
O _Dishwasher Catch Basin
F 6 �-3
Violation notes on the reverse side(