HomeMy WebLinkAbout0039243-Plumbing (interior) CITY OF OSHKOSH
No 39243
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9/.
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /V--C c A-c_ a _.....e..,,,Z.
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
l
PLUMBING CONTRACTOR --e--
C BT t WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
1 WC r FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other /QCW,..
FEES: Valuation 3 .O 6 Permit Fee Paid yo 0 0 Park Dedication
ISSUED BY Date 9 Final /O.P. 9.1y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE OwvL� /HP 733 Z Sl9
AGENT /OWNER
DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APP.LICATIO
7
ADDRESS. 4 DATE 7 T# 3.:5./.2- Yom'
OWNER O p 1.ER —G-a
NATURE OF WORK /Vs/ k
NEW RELAY REPAIR RIOR
SAN SEW
WATER Bathtub
Sump Pump C'
Lavato Ejector
Toilet
Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
1 3/2- Sink(other) Urinal
Waterheater/ Slop Sink
Shower Grease Trap
S- Floor Drain/ Local Waste
9� Laundry Tub Site Drain
Disposal 0 J Laundry Standpipe
Dis hwwasher Catch Basin
v- 81 Xcw e= 130a
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