HomeMy WebLinkAbout0041960-Plumbing (addn to #39347) CITY OF OSHKOSH N2 4196V-1<- e)
0
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
(Jr ADDRESS /3 0 L/ Y/6/47 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK .fi J .re 4€-- 37..7 K7
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 p Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 5 ,0-4.-€-,4_ ii-- /4/---7(-----7---
r BT WH Disp WSoft CBasin /#7
"Lax/ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $''2-J O d O Permit Fee Paid /.2,n O Park Dedication
ISSUED BY Date r'd o �9 Final /O.P. g K
In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 14/
SIGNATURE iJ V
AGENT /OWNER DATE
ADDRESS 35t) 77 %Y -m,'4 el 730
4 9/ TELEPHONE
3 If I PERMIT APPLICATION y" 6
ADDRESS Yo DATE 9 /i PEBMIT# 5
i W' f
OWNER '--C.'74- PPLUMBER
1
NATURE OF WORT. 3 9' 3
HER RELAY 'REPAIR INTERIOR
(51
WATER 0 1 Sump Pump
its
1 E' ector
i Toilet 1 Water Softener
jNSPEI9N DAZE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) Urinal
W�terheater Slop Sink
3 Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
Violation notes on the reverse side!