HomeMy WebLinkAbout0039779-Plumbing (interior) CITY OF OSHKOSH
N9 39779
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PL, j SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS a GPI/ Ari., G'v i PLAN NO.
OWNER I A
DESIGNER n
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
.___4
PLUMBING CONTRACTOR
t BT r WH Disp WSoft CB n
Lav r‘Sh f DW DF San. Sewer
Y WC 4L FDr _L SP Ur Storm Sewer
Sink tFab,4 C G'' Eject SS Water
Other
FEES: Valuation 3i 0 Q Permit Fee Paid C) Park Dedication
ISSUED BY AV Date 6 /�f'C Final /O.P. 0 0 6
In the performance of this work I agree to perform a work pursuant to rules governing the described construction.
SIGNATURE J 4 --f y
AGENT /OWNER DATE
C v
ADDRESS /5/..-<—• 1 3 01vV
TELEPHONE
it-2-'6' �s� I1 PERK? APPLICATION G
ADDRESS 1 :.:.r,�: 3 3 ,'5L T# 3y7
OWNER
NATURE OF WORE A!�"
NEW RELAY REPAIR RIOR
7
WATER
Bathtub Su Pu 7
Lavato
Ejector
INSPECTION DAB
ti ON DA Water Softener
r� /�0 1 -c-/26 2� Sink(other Urinal
Drinkin Fountain
W terheateri Slop Sink
a, Gower Grease Trap
.4. l7 t, .S/ Floor Drain/ III Local Waste
Laundry Tub Site Drain
F-7/22/3F Disposal Laundry Standpipe
Dishwasher Catch Basin
it)
ass i_
1t
61
1 rl