HomeMy WebLinkAbout0041961-Plumbing (interior) CITY OF OSHKOSH
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PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 /7 At/
PLAN NO.
OWNER
C
DESIGNER
USE /NATURE OF WORK r ...11---z- AZ4.,
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 c_// '7 __A- h—
BT I/ WH Disp WSoft CBasin
3 Lav Sh DW DF San. Sewer
3 WC C FDr 4 SP Ur Storm Sewer
I Sink _4. =-Tub iiie k Eject SS Water
Other
FEES: Valuation eeic `a 6 Permit Fee Paid 6 Park Dedication
ISSUED BY Date t° V C r 7 Final /O.P. A 7y
In the performance of this work I agree to pe rm II work pursuant to rules governing the described construction.
SIGNATURE 4-75---9Y
6/4-ei_"-yid.,;, AGENT ER DATE
,5 ADDRESS 2 1 970 t
TELEPHONE N
y/ o
II. A• PERMIT APPLICATION
�DDRESS, 1 DATE 2 53 PERMIT# T I
OWNER PLUMBER
NATURE OF WORK /1/f
NEW RELAY REPAIR INTERIOR
SAN SEW i rdo
WATER j Bathtub p Sump Pump
STORM SEW, 3 Lavatory /1) Ejector
3 Toilet j Water Softener
INSPECTION DATE INSPECTION DATE 1 Kit. Sink Drinking Fountain
Sink(other) Urinal
Waterheater Slop Sink
L Shower If Grease Trap
(A 5" t9-- l 1 Floor Drain Local Waste
I Laundry Tub Site Drain
Disposal f Laundry Standpipe
b/2- g5 f/CIP �1., Dishwas Catch Basin
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Violation notes on the reverse side! j 40.:4t-,a,..,
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