HomeMy WebLinkAbout0039336-Plumbing (interior) No 39 36
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG( SIGN ZONING FLOOD PLAIN HEIGHT
j t
ADDRESS /3-- I j L PLAN NO.
OWNER A
DESIGNER /f�
USE /NATURE OF WORK _s
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
BT WH Disp WSoft C Bas
r Lav Sh DW DF San. Sewer
2WC _L FDr I SP Ur Storm Sewer
Sink LTub Eject SS Water
Other f--—'
FEES: Valuation .-7® 6 f�g:6 0 Permit Fee Paid Park Dedication
ISSUED BY Date S�� Cl Final /O.P. l� 'c)-
In the performance of this work I agree to perfo all work pursuant to rules governing the described construction.
SIGNATURE a 6 q`
AGENT /OWNER DATE
ADDRESS S.5 v /I,. /l�G--4_,pc..-2ci /,j, /L 7 .3; 0.),01-
I TELEPHONE
l(3
PLUMBING PERMIT APPLICATION
ADDRESS /1'79 9 S� j L D ATE Z s T# -y
OWNER A 1 PLUMBER G
NATURE OF WORK .S k
NEW RELAY, REPAIR 4 r OR
SAN SEW I
WATER 1 Bathtub 1 Sump Pump f
STORM SEW. 'Lavatory 1 Ejector
Toilet if Water Softener
INSPECTION DATE CTION DATE 1 Kit. Sink Drinking Fountain
bf( 4/!/ �,P� k. Sink(other)
Waterheater Slop Sink
3�X Shower Grease Trap
1 ,Floor Drain Local Waste
Laundry Tub Site Drain
g7�/9 Disposal Laundry Standpipe
Di hwasher Catch Basin
U.p_ t N 4s, /11
Violation not on the reverse side d ,t-e--._
f
h,,
LJ
u'i Sr-A-cif
4
4 IT /S,