HomeMy WebLinkAbout0031649-Plumbing (interior) CITY OF OSHKOSH N°_ 31649
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG XI SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
OWNER fi
DESIGNER
USE /NATURE OF WORK Ns' FR' 1 7- =----je-
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 Y d
BT WH Disp WSoft CBasin
3 Lav I DW DF San. Sewer
a WC _L FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other 4 C w fr r „0„ I i-r-
FEES: Valuation 3460
C� 6 6.0 0 d Park Dedication
Permit Fee Paid
ISSUED BY Date 9 2 Final /O.P. 5 79 3
In the performance of this work I agree to perfor all work pursuant to rules governing the described construction.
1
SIGNATURE �e c75J— l 1--(3-1,4,
AGENT /OWNER DATE
ADDRESS ,5 0
6`L6hel(J�n i 49 73o c -Q
TELEPHONE
PLDOEING PERMIT APPLICATION
ADDRESS, 73 11 f� DATE 11 `2 2- /�'Y
OWNER 3 (/`J PERMIT#
NATURE OF WORK I 4
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER
Bathtub
S20RM�SEGt� Sump Pump 1
Lavatory /r/ Ejector
Toilet //1 It Water Softener
ii- 4 vt ON DA it
INSPECTION DATE Kit. Sink
Drinkin• Fountain
1 :A --6 Sink other Urinal
J'1 terheatgr Slop Sink
,Shower /t Grease Trap
Floor Drain 1 Local Waste
Laundry Tub
11 f Site Drain
Disposal l Laundry Standpipe p
r '1 i‘ 7
,.Dishwasher Catch Basin
Violation notes on the reverse side]