HomeMy WebLinkAbout0036578-Plumbing (interior) 411-) CITY OF OSHKOSH N° 36578
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG K] SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS v l� gI
PLAN NO
6 c,J A ,,...e_
OWNER
DESIGNER
USE /NATURE OF WORK /V -S� 1� 4
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 c.- r- 1�/
1— f WH Disp WSoft CBasin
3 Lav I Sh 1 DW DF San. Sewer
3 WC FDr r SP
Ur Storm Sewer
Sink _L LTub Eject SS Water
Other 1j C lA) d
FEES: Valuation 3900.0 0 Permit Fee Paid 6 K-O 0 t/ Park Dedication
ISSUED BY !0 2 7
Date j� Final /O.P. c:: q3
In the performance of this work I agree to perform all ork pursuant to rules governing the described construction.
SIGNATURE 7
AGENT /OWNER DATE
ADDRESS 7 30 0-)--vs
TELEPHONE
INC PERMIT APPLICATION /o
ADDRESS 42gf it
DATE 2 RAT# �6
OWNER /I.c�
PLUMBER
NATURE OF WORK ��f
NEW RELAY REPAIR INTERIOR
SAN SEW
1#
WAVER
ARM SEtii 2-Bathtub 1 Su Pun,
.3 Lavatory Ejector
ON DATE INSPECTION Toilet 1/i Water Softener
INSPECTION DATE Kit. Sink Drinkin Q Fountain
fo .3'03 Sink(other)
Urinal
Slop 4...._ Waterheater/
Q s Sho r Grep ei
/3 �3 we Grease Tran
Floor Drain/
/2 A V 3 1 Laundry Tub Local Waste
Site Drain
Disposal 1 Laundry Standpipe f
2Di hwasher/ Catch
Violation notes on the reverse side( e A Air(