HomeMy WebLinkAbout1987-Plumbing (interior) CITY OF OSHKOSH
PERMIT APPLICATION A D RECORD No 04670
TYPE: BLDG HTG ELEC PLBG ,S, SIGN ZONING
FLOOD PLAIN HEIGHT
22.2 4 w I LA PLAN NO.
ADDRESS
OWNER
DESIGNER
//7,i-/.4i /1/7- .7.,
USE /NATURE OF WORK
BUILDING CONTRACTOR Height
Size
Sq. Ft. Rooms Stories
Class of Const. Occupancy Permit--
Foundation
HEATING CONTRACTOR BTU'S
Heat NC Vent Fuel /System Heat Loss
ELECTRIC CONTRACTOR
Change Temp Type Volts Amps
Electric Serv. New 9
Fixtures
Switches Receptacles Circuits--
PLUMBING CONTRACTOR (e4' 7 e 4 ;S
_L_BT _f___WH p
Disp WSoft CBasin
I___ Lav Sh DW DF _San. Sewer
1- WC _2_ FDr SP Ur Storm Sewer
Eject SS Water
Sink _i___ L�� E I
Other
41--- Park Dedication
FEES: Valuation �Sc��/ Permit Fee Paid Date G s-.37
ISSUED BY Date 7 -.Z.7__ -7 Final /O.P. Q
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
�c..�i 4./ 4 2 /47,42 4 2 s�
AGENT/OWNER SIGNATURE ATE
R
ADDRESS TELEPHONE
ADDRESS 1 iJe Ave. PERMIT
OWNER �A ..44._ NATUREOFWORK
PLUMBER /A-47 7frS 6�f? /V
OUTSIDE INTERIOR
New 1Rela Repair 46 1
San Sew I Bathtub Catch B.
Water Lavatory Grease T.
St. Sew Toilet i Sump P.
*Inspection Dat Sink Kit. Local Waste
A �('3/g 4 codiof l�(/✓ Sink (other) Site Drain
Shower Laundry
&t C Floor .rain aun•ry tray
�//1 q Disposal W. Softner
r
7 0 Dishwasher D. Fountain
Me4- 8/44 Lv
*Violation notes on reverse side