HomeMy WebLinkAbout0039770-Plumbing (interior) CITY OF OSHKOSH
N° 39770
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGSIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /OZ e- L X 0 PLAN NO
OWNER
DESIGNER
USE /NATURE OF WORK 5
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 i T
BT l WH Disp WSoft /CBasin
Lav r Sh 1 DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink JiFaIrMCGJ Eject SS Water
Other
FEES: Valuation Permit Fee Paid 34 Park Dedication
ISSUED BY 4i Date �9' '1 q Final /O.P. •3 D l
In the performance of this work I agree to perform all wo k pursuant to rules governing the described construction.
SIGNATURE j 1" i
GENT WNER DATE
ADDRESS SSQ 4 C/ )✓rL 42p 7 5,o �f -0
TELEPHONE
I PERMIT APPLICATION
ADDRE SS,
e Ai DATE 6 &�T# 3 977
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OWNER PLUMBER Of
NATURE OF WORK -S
r
NEW RELAY REPAIR 0. 1 1 RIOR
SAN SEW
WATER Bathtub Sump Pump
STORM SEW Lavatory i Ejector
Toilet t Water Softener
INSPECTION DATE IN CTION DATE Kit. Sink Drinkin g Fountain
Sink(o her) Urinal
9/// i e 1 Waterheater Slop Sink
Shower Grease Tray
A s/.2_ 1 Floor Drain Local Waste
Laundry Tub Site Drain
Li J Disposal Laundry Standpipe/
L
s� �j Dish asher Catch Basin
f CT 3 0 w_ r s
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note! an the reverse _WW1
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