HomeMy WebLinkAbout0039344-Plumbing (addn to #36572) CITY OF OSHKOSH No 39344
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG W SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER I( 4....-6.-1--c-
DESIGNER
USE /NATURE OF WORK r .„..../..-z.-- ��`f �72/
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 -�sz-
BT WH Disp WSoft C --1
Lav 1_ Sh DW DF San. Sewer
11 C WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 2 a d a Permit Fee Paid /--2 d Park Dedication 3D .2 q �1
ISSUED BY L�l/ Date ,3 70) ,3 70) Final /O.P. 3 7
In the performance of this rk I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ^—G/ tY
AGENT/0 NER
AG DATE
ADDRESS S0 o l7Lve /q/ 230-- -I
TELEPHONE
Yl O
Dl"D3ING PERK? ABPLI ON
a" g' n D ATE 3 3 y 7 ;.s Till -72
K
�iDDRESS t
OWNER P ER
NATURE OP WORK
OF SCs- i.
NEW RELAY REPAIR INTERIOR
SA3 SEW
WATER Bathtub Su Pu 4
STpRM SEW. 1 Lavatory E)ector
1 Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
3/3 p�K Shower Slop Sink
Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
1 S 'Dishwasher Catch Basin
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Violation notes on the reverse Bidet