HomeMy WebLinkAbout0039343-Plumbing (interior) CITY OF OSHKOSH N° 39343
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG !d SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS l 2--.:?..S--- i�/ 4l PLAN NO.
OWNER --e
DESIGNER
AIOPP
USE /NATURE OF WORK 1 p
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 '7-
-t BT 1 WH Disp WSoft L s%
sin
2av 1 Sh DW DF
San. Sewer
‘WC 4 FDr _L SP Ur Storm Sewer
Sink LTub Eje t SS
Water
Other i,C(4) /7 1-%-
FEES: c) 0 C3 C) C)
Valuation Permit Fee Paid a Park Dedication
ISSUED BY Date S� 7✓�fG Final /O.P. S: '9T
In the performance of thi work I agree to perfor :II work pursuant to rules governing the described construction.
SIGNATURE J( I .S------. 7 -ly
AGENT /OWNER
DATE
ADDRESS S 1 '�v vfJ GG. ,i4 7 3 -�7 /7s
v
TELEPHONE
K
ING PEREIT APPLICATION
S-- /,A/ /Q, DATE 5` i- PERCT#
ADDRESS, #e0------>,r- v
OWNER e u ER CJi
NATURE Or WORK 7
REPAIR r
NEW RELAY OR
SAN SEW
WATER Bathtub Sump Pump
a 7--- Lavato E' ector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
U 3/30 Waterheater Slop Sink
11 r Shower Grease Trap
L a yrTu Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
:T 5 /.z& Dishwasher Catch Basin
Violation notes on the reverse side(