HomeMy WebLinkAbout0036247-Plumbing (interior) CITY OF OSHKOSH
N2 36247
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG JIT SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 7 G'V i
7 PLAN NO.
i OWNER r� n
DESIGNER
USE /NATURE OF WORK /VS F 4 1Z,,
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
BT f WH Disp WSoft CBasin
3 Lav Sh r DW DF San. Sewer
3 WC r FDr r SP Ur Storm Sewer
Sink L-Tttb /4C. uJ Eject SS Water
Other
FEES: Valuation '6-..200.00 Permit Fee Paid 6 O o Park Dedication
ISSUED BY Date /O/ /p Final /O.P. ''?-g. 9 y
In the performance of thi work I agree to perform I work pursuant to rules governing the described construction.
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SIGNATURE /a �3
AG /OWNER DATE
ADDRESS 1T 3 r� 36 4) ,5
j TELEPHONE
s,,/ \I PLUMING PERMIT APPLICATION
ADDRESS, 426'7 /l� g 1 DATE PEBm?# 3C .2 f
S�,e
OWNER PEER
NATURE OF WORE c
NEW RELAY REPAIR INTERIOR
,AN SEW
BALER
I Sump Puup
It• s. A. 3 Ejector
3 Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
7,200_(30 Sink (other) Urinal
Waterheater Slop Sink
Von Z Shower Grease Tran
V�C� Floor Drain Local Waste
I�/ I Laundry Tub Site Drain
I Disposal Laundry Standpipe t
J Dishwasher Ca h Basin
J CG
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