HomeMy WebLinkAbout0033646-Plumbing (interior) 33646
CITY OF OSHKOSH N
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 1 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS
2 6 ze PLAN NO.
OWNER 3 ^Y�
DESIGNER
USE /NATURE OF WORK 4
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
Z BT
WH WS CBasin
Lav Sh f DW DF San. Sewer
a WC I FDr L SP Ur Storm Sewer
Sink LTub Eject SS Water
Other I 4 C
to f x� 1 9
FEES: Valuation �e d Permit Fee Paid 6 0 Park Dedication
ISSUED BY
Date 7 Final /O.P. (4 93
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
r U `7� -.47-
SIGNATURE DATE
AGENT /OWNER
S" A el.� �/2 730 �J
ADDRESS C TELEPHONE
arc
meow PERMIT APPLI oN
ADDEZSS /2 E l ._/7- 36 f`�
DATE T#
OWNER „_1.�a- -Ce 1
NATURE of WORK /l S`
NEW RELAY REPAIR IRILIOR
§ALSETI 4
STATER Bathtub /f
Sutm Pump 1
STORM SEW. Lavat E'
Toilet /1! ec Water Softener
INSPECTION DATE InBPECTION DATE I tit. Sink Drinkin a Fountain
Sink(other) Urinal
1 4 6 7 0 V 1 Waterheater Slop Sink
L Shower Grease Trap
q
1, Floor Drain Local Waste
F 1 3 Laundry Tub Site Drain
1 Disposal 1 Laundry Standpipe
1/ Dishwasher/ Catch Basin
1 7 0u 2 3� --Z. ,,,,,,„,74--