HomeMy WebLinkAbout0023023-Plumbing (bathtub) CITY OF OSHKOSH N°_ 23023
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG X SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS S 77 E PLAN NO.
OWNER ar-- cer_er_zd
DESIGNER
USE /NATURE OF WORK
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 a
BT WH Disp Soft CBasin J
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation t. o 0 a Permit Fee Paid LO a9 Park Dedication
ISSUED BY Date P 9 Final /O.P. S' If
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ah J i" c /yvn" q{ 7! h i
AGENT /OWNER 4 DATE
ADDRESS X33 r
1
TELEPHONE
PLUMING PE ^.MI": APPLICATION
ADDRESS ---5-7 z.ze 7 �ry DATE
,7r��1 PERMIT# 3 a 3
g (61, P UMER lr� P-
OWNE R Z
NATURE OF W
c,‘...„,e- a s -40--,e,..: ,1)--e
NEW RELAY REPAIR INTERIOR
SAN SEW 1
WATER Bathtub Catch Basin
STORM SEW Lavatory 'Grease Trap
III1Toilet Sump Pump
Waste
Sink other) cal Wai
Los
INSPECTION DATE INSPECTION DATE 1 Kit. Sink Lo ta Dran
4
P1
V- 3° ip` e Shower Laundry Stand P
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Futu a outlets
0 _S —9:LL „......7
Violation notes on the reverse side! ,4i
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