HomeMy WebLinkAbout0038670-Plumbing (interior) CITY OF OSHKOSH N 38670
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG kf SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS J b /e e 7 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /�Sf k f....."..--..
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat p 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 -SC -11— e
WH Disp WSoft CBasin
3 Lav Sh f DW DF San. Sewer
a WC FDr _L SP Ur Storm Sewer
Sink LTub Eject SS Water
Other 8 e
f r
FEES: Valuation 3IC a 0 Permit Fee Paid 6 O. 0 0 1 Park Dedication ISSUED BY qy Date r7 Final /O.P. 11��•
In the performance of this work I agree to perfor II work pursuant to rules governing the described construction.
SIGNATURE c 3 -�7
AGENT /OWNER DATE
ADDRESS 5_ e."-- 4 -7 /✓'ti 1 73 O atOr
TELEPHONE
PERMIT APPLICATION
ADDRESS 6 O n DATE V--1 3g6 70
OWNER A i ER
NATURE of WORE X
1 RELAY REPAIR RIOR
IN ilk
WAIF IVi Bathtub A Su p Pu p
I.; 4 A. TM Lavata Ejector
W1 Toilet -imi Water Softener
ON DATE INSPECTION DATE Mint. Sink Drinkin• Fountain
MI Sink(other p
In W_te heater Slop Sink
t/ G e -se Trap
.2../ Floor Drain/ Local Waste
l Laundry Tu.
Site Drain
V rj- 3 Disposal Laundr Standpipe
1� Dishwasher w� Catch Basin
F q /�9 U, i 5
Violation notes on the reverse side(