HomeMy WebLinkAbout0036583-Plumbing (interior) Ki d
CITY OF OSHKOSH N 36583
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A] SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS
4.2, PLAN NO.
OWNER g
DESIGNER
USE /NATURE OF WORK
/VS k
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 S P
i BT 11 WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC _L FDr SP Ur Storm Sewer
Sink _LicTub /gC IA) Eject SS Water
Other
FEES: Valuation 3 O -c) d Permit Fee Paid 3 6 O 0 Park Dedication
ISSUED BY Date 2 9J Final /O.P. o2 "0 9 y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /0
7 7
AGENT /OWNER D
ADDRESS /J ���-4....r ,Al• 41// 2 -).Y
TELEPHONE
o
PERMIT APPLICATION
fr DDSESS /.2- 411 DATE 3 PE T# —83
OWNER P t /,a:
NATURE OF WORT. /G/ --C/ X
NEW RELAY REPAIR OR
SAN SEW
MT 1 Bathtub Su. Pu.
STORM SEW Ejector
Water Softener
ti 4 '!t DATE INSPECTION DATE Rit. Sink Drinkin• Fountain
S1nktother TTrina1
W6/41/ /i9 /7° Waterheater Slop Sink
Shower Grease Trap
1 Floor Drain Local Waste
2/P -1 9' Laundry Tub Site Drain
Disposal Laundry Standpipe/
Di- hwasher Catch Basin
V 7 /21j il L S i /-61,,', f 77_(
1( 0.2.E
Violation notes an the reverse side(
3'"
Ort)(