HomeMy WebLinkAbout0043635-Plumbing (lower level) N2 43635
CITY OF OSHKOSH
P ERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG l e SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS g-R (i/ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK F �1." li. 32'77e'
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
6 1
PLUMBING CONTRACTOR e e
BT WH Disp WSoft CBasin t/
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink _l___ LTub Eject SS Water
Other
FEES: Valuation 7572 C C% c' Permit Fee Paid l G, G G Park Dedication
ISSUED BY Date 73 cj ,S Final /O.P.
In the performance of this work I agree to perform all w pursuant to rules governing the described construction.
SIGNATURE V D J- WNER DATE
ADDRESS ,1 .77, r?hvv�.4 �tP 7 3O c)
TELEPHONE
L ING PERMIT APPLICATION (7‘ /o
ADDRESS, p' 0 ^'�7 DATE J 9 FERIA?# 36 3,�`�
OWNER VD P u 1,74
r X2 »6
NATURE OF WORK 4.-�
NEW RELAY REPAIR INTERIOR /5� v f--
SAN SSW
WATER 1 Bathtub Sump Pump
NORM SEW Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
Waterheater Slop Sink
Shower Grease Trap
Floor Drain Local Waste
..1, Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side(