HomeMy WebLinkAbout0036618-Plumbing (interior) Wa
No 36618
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG 0 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS A,d /l/ PLAN NO.
OWNER LT E
DESIGNER Q
USE /NATURE OF WORK A S� iR
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 __t L_
_L BT --1- WH Disp WSoft CBasin
Lav Sh 1 DW DF San. Sewer
_L WC i FDr SP Ur Storm Sewer
_L Sink _L.1.-Teb ti C. w Eject SS Water
Other
FEES: Valuation 3 220 0 SC 0_ 0 C v
Permit Fee Paid Park Dedication
ISSUED BY Date /o/a�,3 j 2/9.3
Final/Q.P. /2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r}- r,«Z, o M P 23 3 2— /6/"/9-3
AGEN /OWNER Zf
DATE
ADDRESS
TELEPHONE
`Th PLID BIIic PER CT APPLICATION
ADDRESS, /1 /l_3/7_,.;› PEorwT# 3
MINER J
NATURE OF WORK s
NEW RELAY REPAIR RIOB
SAN SE 4 3too
WA •_R Bathtub 1 Sul Pu u. i
STORM SEW Lavatory Ejector
Toilet Water Softener
u 4 *Iv 1 TE INSPECTION DATE Kit. Sink Drinkin• Fountain
U 47:i Sink other Urinal
Waterheater Slop Sink
Q a Shower Grease Trap
Floor Drain/ Local Waste
Laundry Tub Site Drain
PI 3/1 3 1 Disposal Laundry Standpipe
Dishwasher,O Catch Basin
Violation notes on the reverse side]
Dtt-nAir- ts n ir /d-/z .2/7 i