HomeMy WebLinkAbout0026878-Plumbing (interior) CITY OF OSHKOSH N°_ 26878
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 7 8' T
L� /-e-- PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /l 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 P 9`
BT
WH Disp WSoft CBasin
___L Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
3 Sink LTub Eject SS Water
Other
FEES: Valuation 2 86 0 .0 Q Permit Fee Paid 36 O
Park Dedication
ISSUED BY Date 1 7
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
(N.
SIGNATURE G Z
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMING PERMIT APPLICATION
ADDRESS 7 F. a DATE 6 517 o
PERMIT# 8 7
OWNER
LUMBER
r P
NATURE OF WORK
NEW RELAY REPAIR INTERIOR
SAN SEW J
WATER
8.14y Bathtub Catch Basin
IIn Lavato Grease Tra.
Toilet I Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
19a %ci-lej (,f 6- 3 Sink(other) Site Drama
Shower Laundry Stand Pipe
F oor Drain Laund Ira.
I
Disposal Wat. Softner
3 —9 Dishwasher
D. Fountain
1112 Water Heater E ector
MI Future outlets
1 Z u
2'
V iolat; p., notes on he reverse side