HomeMy WebLinkAbout1987-Plumbing (addn to #4670) 41.) CITY OF OSHKOSH No 06604
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGA SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 22 6 PLAN NO.
OWNER e.�
DESIGNER
USE /NATURE OF WORK s i A i Ir
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 GL4z'
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
V
FEES: Valuation "5 Permit Fee Paid 5 Park Dedication
ISSUED Date d Final /O.P. e /e4
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4z 2�
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION xcD K
ADDRESS ..Z "U X DATE PERMIT
46.
OWNER PLUMBER (t..4 ec<3
NATURE OF WORK C-cid lv+ re-r-- W en4:
NEW RELAY REPAIR INTERIOR
SAN SEW 1 WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
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Sink(other) Site Drain
GtaV AL5 Shower Laundry Stand pipe
Floor Drain Laundry Tray
isposal Wat. Softner
F /c b7 ishwasher D. Fountain
Water Heater Ejector
I Urinals Future outlets
1 Violation notes on reverse side!