HomeMy WebLinkAbout0036573-Plumbing (interior) SL /O
N°_ 36573
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG Fri SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /-2-46 1 V
PLAN NO.
OWNER e
DESIGNER
USE /NATURE OF WORK 4/3 F g .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 Cit---zes-- 1' /7
1 BT WH DDisp WSoft CBasin
Lav Sh DW DF San. Sewer
1 WC 1 FDr _L SP Ur Storm Sewer
Sink LFnb 4c v) Eject SS Water
Other
FEES: Valuation 2-6 30 00 3� O O
Permit Fee Paid Park Dedication
ISSUED BY -liz Date I O f 7/73 Final /O.P. 3 9
In the performance of this work I agree to perform all w rk pursuant to rules governing the described construction.
SIGNATURE /O
AGENT /OWNER DATE
ADDRESS 5 6 /I Z j Y 0 c Z ii/77 6-1 57. 7
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS I-06 DATE i" 7/)
OWNER s PERK?# 36,536,5 '7
PLUMER P
NATURE OF STORE i/S'f- e 6,4
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER
Bathtub i Sump Pump
Lavato I Ejector
oilet Water Softener
INS�pN DATE INSPECTION DATE Kit. Sink Drinkin Fountain
vl ✓r 3/7 (QZ -6„. Sink (other) [jrinRl
li c J 3 J Wterheater Slop Sink
7- a ,1 #1-- 3- S awer Grease Trap
./I Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
j or D'shwasher 0 Cat Basin
0 000- 0 S S i
r- 07.
3' FD
3
49v OA
&ir 3
V