HomeMy WebLinkAbout0040648-Plumbing (interior) CITY OF OSHKOSH N 40648
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG fit SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS G' U �1T' PLAN
DESIGNER
USE /NATURE OF WORK 5 r 4.41...„..e;Zie___e_i
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
__L_ BTWH Disp 7 Soft CBasin
2 Lav 1'Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink ,C 4/�' Eject —SS —Water
Other
FEES: 3 36" dd ,-_6QJ
S Permit Fee Paid Park Dedication
ISSUED BY Date -V� s 1 /2 Final /O.P. 1 y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE .../.L.� e 2 3'3 7/� --5�
AGENT /OWNER DATE
ADDRESS
TELEPHONE
y/
IwLTRIB17#C PERMIT APPLICATION
ADDRESS, W�c� DATE 5 SC K
OWNER T C? T#
NATURE Or WORK
NEW RELAY IMPAIR 4' w RIOR
SAN SEW
STORM SEW. ,a0 Bathtub Sump Pump
Lavatory Ejector
y Toilet Water Softener
ON DATE INSPECTION DAZE Kit. Sink Drinkin Q Fountain
(77k Si nk(o ther) TTr i nal
Waterhe ter 1 Slop Sink
Shower f Grease Trap
Floor Drain Local Waste
F /r, V Laundry Tub Site Drain
r Disposal 0 Laundry Standpipe/
Dish as her ,j �l Catch Basin
V S�� F /VG '4-
Violation notes on the reverse side]