HomeMy WebLinkAbout0003798-Plumbing (interior) CITY OF OSHKOSH N9 03798
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 g07 air //_c// _s/ PLAN NO.
OWNER t c y
DESIGNER
USE /NATURE OF WORK yt i ;5 /0.15.; r---1.- I 4,e,
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 AP-
-1_ BT WH Disp WSoft CBasin
Lav _L Sh 4 DW DF San. Sewer
3 WC _L FDr ..2 SP Ur Storm Sewer
I Sink L L Eject SS Water
Other
FEES: Valuations (-1?)cma
Permit Fee Paid r Park Dedication
ISSUED BY .e� a Date �/7 41 Final /O.P. 7(547
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE X f.A/ (a ,Z 21
AGENT /OWNER DATE
ADDRESS
TELEPHONE
a f PLUMBING PERMIT APPLICATION 037 ?g
PLUMBER DATE /A'S
NAME OF OWNER -f -4.... ADDRESS Z__ /L S lCc�/�vi/ �p/
t ago/ 6(.4;r 4 l r7L
NEW SAN. WATER STORM RELAY SAN. ER
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
NEW REP., NEW REP. NEW REP.
Bath Tub 1 Gar. Disposal Catch Basin
Wash Basin a Dishwasher 1 Conductors
Water Closet 3 Laundramats J Grease C.B.
Sink 1 Water Softener Sump Pump -R
Water Heater 1 San. Bubblers Bar Wastes
Shower Bath I Urinals Range Boiler
Floor Drain Dental Cuspidors_ Future Outlets
3 4 34)
p ov.
3) 5'7/ate 3 P 1('S
S/2-Y/r7