HomeMy WebLinkAbout0039342-Plumbing (interior) CITY OF OSHKOSH N2 39342
41.) PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3. o PLAN NO.
OWNER 6( c
DESIGNER USE /NATURE OF WORK 115 r
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 S 441 L-VL
l BT WH Disp WSoft CBasin
r Lav Sh r DW DF San. Sewer
WC _L FDr L SP Ur Storm Sewer
Sink LTub Eject SS Water
Other 1 '�C !✓1�
FEES: Valuation -2- d d Permit Fee Paid �"o 6 d Park Dedication
ISSUED BY Date /p Final /O.P. �•14
In the performance of work 1 agree to perfo m all work pursuant to rules governing the described construction.
SIGNATURE J 5 9 ^'9 y
c 2/OWNER DATE
G
ADDRESS ?-S &4 /2 1G�'T.��� li 7Yv�•.
TELEPHONE
p1 "INC PERMIT APPLICATION
ADDRESS 5Z-(5, 5Z-(5, .7
3°2 a i
DATE
OWNER /c -2 8 i 3
araT
NATURE OF WORE S f PLUMBER S /Y --6 r
i RELAY REPAIR
SEW /INTERIOR
WATER 111111111.111■1111
-tr NM Sump Pu
'Ai t� E ector
3
DATE INSPECTION DATE l/ WW ater Softener
Mil Sink(other rinkin Fountain
Slop Sink
�r Floor Drain ml G e_se Tra.
IIII S Laundry Tu. Local Waste
INN Disposal Site Drain
WI Dis was,
RA Laundr Standpipe
Cat h Basin
i e allipilhf5, -.2i2-').YULyj 5
e rsi,