HomeMy WebLinkAbout0039337-Plumbing (interior) K/ a
CITY OF OSHKOSH
No 39337
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG le SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 ifr� PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
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 '1 7
it BT i WH Disp WSoft C asin
3 Lav ySh _L DW DF San. Sewer
3 WC FDr 1 SP Ur Storm Sewer
Sink LT
SS Water
Other Eje t t-
FEES: Valuation `S 'L O a' Q O 4 0 I
r Permit Fee Paid Park Dedication
ISSUED BY Date s Final /O.P. 6- 7-9
In the performance of this work I agree to perfor all work pursuant to rules governing the described construction.
SIGNATURE J 9 "�y
AGENT /OWNER DATE
ADDRESS S L5 U x/
-ie_pi„,,,� ,y44,4‘ A-------C, 2 7!' --v-U
TELEPHONE
Y
v� 1 Th hBING PERMIT APPLICATION
G DATE 1 T -?Y—Z??
ADDRESS 0'
OWNER i
NATURE OF WORT. S F 4
NEW RELAY REPAIR u' /RIOR
SAN SEW
DATER Bathtub 1 Sump Pump
STORM SEW. Lavatory 1 11 Ejector
Toilet 1) Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink y Drinking Fountain
Sink(other) ••_;^a'
U 3 (1 S Waterheater 1 Slop Sink
I .J Shnwer Grease Trap
t Floor Drain 1 Local Waste
Q Laundry Tub Site Drain
,Disposal Laundry Standpipe
17 7/ L 4� _Di hwasher Ca /�,a
\i-e !.!_/---g- ..A-(0--ve--)
Violation notes on the _averse side(