HomeMy WebLinkAbout0033639-Plumbing (interior) CITY OF OSHKOSH
N2 33639
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG% SIGN ZONING FLOOD PLAIN HEIGHT
Or ADDRESS d IO
PLAN NO.
OWNER
DESIGNER
5
USE /NATURE OF WORK /1/ rA
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 #.t[4
i BT WH Disp WSoft CBasin
l
3 Lav Sh DW DF San. Sewer
3 WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other t tk)
FEES: Valuation 514e3' O /0 a' Permit Fee Paid 46,6 0 Park Dedication
ISSUED BY Date V 1 93 Final /O.P. 6/A 7/5''3
In the performance of this wor agree to perform all w k pursuant to rules governing the described construction.
i
SIGNATURE 7 13
3
NT /OWNER DATE
ADDRESS 5 'i, 4.k 4,x-1 ?36 `Oo�c
TELEPHONE
roc PERMIT APPLICATION 3 may
ADDRESS DA TE T*.
MINER i
NATURE OF WORE /�C
NEW RELAY BEPAIR OR
SAN SEW #Bathtub Su Pu
WATER R, E ector
r• Water Softener
I "PECIZON DATE INSPECTION DATE Tit. Sink Drinking Fountain Urinal
C/( j y Slop Sink
Grease Trap
Floor Drain Local Waste
g h Laundry Tub Site Drain
Disposal
Laundry Standpipe-1
Dishwasher Catch Basin
,,1/4 (4 7 3 00
Violation notes on the reverse sidel 4