HomeMy WebLinkAbout0029848-Plumbing (interior) CITY OF OSHKOSH N2 29848
L' PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGJSIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS g 7 PLAN NO.
OWNER
DESIGNER 'l
USE /NATURE OF WORK S �j� 4
A
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Ler- er4-474-- D
41 BT WH Disp WSoft L. CBasin
2TLav I Sh DW DF San. Sewer
7- WC FDr 1 SP Ur Storm Sewer
Sink LTub Eject SS Water
Other 4 fr
FEES: Valuation 2 b CI 6) C' a Permit Fee Paid r a 0 Park Dedication �j
ISSUED BY 10 Date Z� Final /O.P. 9 /i��/Q�
In the performance of this work I agree t perform all work pursuant to rules governing the described construction.
SIGNATURE Y25 r 'e 2 -3
AGENT /OWNER DATE
ADDRESS Sal /7_ /3`�P- rY.t��.j J e'.......1.5 730 'd.zoSS
v TELEPHONE
6 e TING PERMIT APPLICATION
ADDRESS j DATE 7/11 3' 2- PE d 98 W OWNER P PLDMB g P
NATUaE OF WORL /(i'Si
NEW RELAY REPAIR INTE R
SAN SEW
WA R f Bathtub
S u Pu
';Y A. Laysto E'ector
3 Water Softener
INS�ON DATE INSPECTION DATE Kit. Sink Drinking Fountain
/�D 7/6.1.8. Sink(other) Urinal
x Waterheater Slop Sink
Shower I Grease Trap
rn Floor Drain Local Waste
I Laundry Tub Site Drain
Disposal Laundry Standpipe
4 Dishwasher Catch Basin
Violation notes on the reverse side(