HomeMy WebLinkAbout0039347-Plumbing (interior) CITY OF OSHKOSH N 39347
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGJ SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 471-43 A 4
7- PLAN NO
OWNER
DESIGNER
07
USE /NATURE OF WORK /4' 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 c -14-
BT JAM Disp WSoft C sin Gib/
Lay Sh i DW DF San. Sewer
WC T FDr SP Ur Storm Sewer
Sink LTub Eje t SS Water
Other I Cile/ t71-"
FEES: Valuation 0 U Permit Fee Paid 3 d Park Dedication
ISSUED BY Date 0/7 `.7 Final /O.P. Y .3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE
''LING PERMIT APPLICATION
ADDRESS 1 4 1 3 n/ A yr DATE 3 7 S fe 3 c
OWNER .mil ,4/ PE T# S
1�� PLUMY Y
NATURE OF WORE A�sf
NEW RELAY REPAIR OR
SAN SEW
WATER
I Bathtub 1 1
SSORM EW. 1 S Lavatory t( Ej ector
Toilet 1r Water Softener
i ON DATE ,INSPECTION DAZE 1 Kit. Sink Drinkin• Fountain
51/ r'- Sink(other Urinal
4 77 -1 W terheater Slop Sink
7 ,Shower Grease Trap
Floor Drain/ Local Waste
Q 1 7/? 1 Laundry Tub Site Drain
i Disposal Laundry Standpipe
F 2/ Dishes sher 1 Catch Basin
olation notes on the reverse side{ (,,G