HomeMy WebLinkAbout0038667-Plumbing (interior) CITY OF OSHKOSH
No 38667
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 40a k� 47
PLAN NO
OWNER k _..e
DESIGNER
USE /NATURE OF WORK A/ Sl 1
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 Y
I BT WH Disp WSoft cBasin
Lav Z Sh _L DW DF San. Sewer
WC _L FDr _t_. SP Ur Storm Sewer
4_ Sink LTub ject SS Water
Other 1 /9 C ij.J
f r
FEES: Valuation f 1 3o®• m Ci Permit Fee Paid con 6 6 Park Dedication
ISSUED BY Date 9 9�
Final /O.P. et ../.49 y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r 3 ---..2_ 7 19'
AGENT /OWNER DATE
ADDRESS r� Ali 3
TELEPHONE
T
MIRING PERMIT APPLICATION
ADDRESS /e2 9 DATE 93 T# 394‘7
e....6.--n--1-7 57 g /7 1 j
OWNER PURSER
NATURE OF WORK, A
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER 1 Bathtub Sump Pump
r A. Levato Ejector
Toilet Water Sof tener
tNsPECTION DATE INSPECTION DATE 1 Rit. Sink Drinkin Fountain
cc 3
22 Sink other Urina
3 /3 Waterheater f Slop Sink
L Shower Grease Trap
LI lT l- 1 Floor Drain Local Waste
Laundry Tub Site Drain
F 6/ 0/ Disposal Laundry Standpipe/
,Dishwasher C ch Basin
UAd/ZI; 6
CA, G.
Violation notes on the reverse side]