HomeMy WebLinkAbout1995-Plumbing CITY OF OSHKOSH N 43406
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS a 4_ PLAN NO.
OWNER
DESIGNER
1,--,,,e-e,
USE/NATURE OF WORK
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 L �S!
BT WH Dis WSoft CBasin P s
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 3$5 0 v Permit Fee Paid 4°2 c' U Park Dedication
ISSUED BY /17,------- Date //7`..5.--
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /4,4;4.,
DATE
ADDRESS
TELEPHONE
MIRING PERMIT APPLICATION
ADDRESS ;12-.2,c,
OWNER D /r•� DATE T PERI�T#
NATURE OF WORT. r iy��
RELAY REPAIR INTERIOR
WATER moms
o
Su Puy
E 'e ctor
Latmalm DATE INSPECTION Water Softener
W
Drinkin• Fountain
Urinal
W terheater Slop Sink
Sewer Grease Trap
ki i, 0- Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
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