HomeMy WebLinkAbout0035038-Plumbing (interior) CITY OF OSHKOSH N 35038
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG (4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS A
PLAN NO.
OWNER ....c� -C
DESIGNER
USE /NATURE OF WORK 5 t--14.--a----
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
1- BT —L WH Disp �i
P WSoft CBasin
___L_ Lav Sh _L DW DF San. Sewer
WC _L FDr l SP Ur Storm Sewer
_i___ Sink _±,IeTtib,q GO Eject
SS Water
Other
FEES: Valuation ge 0 a Permit Fee Paid 3 at d
Park Dedication
ISSUED BY Date 7 ..2-- Final /O.P. vz 0/n_
In the performance of this work I agree to perfor all work pursuant to rules governing the described construction.
SIGNATURE
vin n 2 7 3
AGENT /OWNER
DATE
ADDRESS 5 '6 e 4 4 4 v i 4r w S 5 3/ 7 S"
TELEPHONE
,A/ DMBING PERMIT APPLICATION
44
IDDRESS -s DATE -S7' C7,2 PERMIT# 35 37
OWNER (AM tLt Ilvl: .4: ��O! P!
NATURE or won .ETA o(- A d
NEW RELAY REPAIR r BIOR
SAN SEW A
WATER Bathtub Sump Pump
1 0:4 A. 7 Lavaca E'ector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink I Drinking Fountain
Sink(other) Urinal
Waterheater r Slop Sink
tjf K
Shnwer Grease Trap
I 7/ Floor Drain f Local Waste
Laundry Tub Site Drain
�/;6/ Disposal Laundry Standpipe/
F I k _4 Dishwasherl Catch Basin
Violation notes on the reverse side(