HomeMy WebLinkAbout0039777-Plumbing (addn to #39342) CITY OF OSHKOSH
N2 39777
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3, O PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK ffi1
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 v
BT WH Disp WSoft /Basin
Lay Sh DW DF San. Sewer
A WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation -?..5"-C) o 6 Permit Fee Paid I' 2 o Park Dedication
ISSUED BY n7 Date 7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE rjft j./4/ 6— '4(
AGENT /OWNER J DATE
ADDRESS 57.4 /7c .Sl GE G
t✓ Q/ y� 36 O..L6.3-
TELEPHONE k
u'.INC PERMIT APPLICATION
ADDRESS 3 *C3 k A DATE s/i PEB�T# 77 7
OWNER PLVMBER
-322 K2-
NA T URE OF W ORK I- k -4 ti.
NEW RELAY REPAIR IN
SAN SEW
WATER Bathtub Sump Pump
S?OBM SEw Lavato Ejector
Toilet 1 Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinkin g Fountain
Sink(other) Urinal
Waterheater Slop Sink
,Shower Grease Trau
Floor Drain Local Waste
Laundry Tub Site Drain
1 Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side]