HomeMy WebLinkAbout0043923-Plumbing (interior) Y,-
CITY OF OSHKOSH N° 43923
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS F//
PLAN NO.
OWNER .,t��
DESIGNER
USE/NATURE OF WORK 7 7
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 'd`'
_L_ BT WH Ba
Disp WSoft C sin
-S Lav 7L Sh DW DF San. Sewer
WC l FDr 4_ SP Ur Storm Sewer
_j___ Sink _L.J.T-db G1✓ Eject SS Water
Other
t1, 74
FEES: Valuation 7i O x n Permit Fee Paid -76 rz> 0 Park Dedication
ISSUED BY 7!7i----- Date 02 j 'S Final /O.P.
In the performance of this rk I agree to perfo all ork pursuant to rules governing the described construction.
4��■ 3-)r--/I
GENT /OWNER DATE
ADDRESS ,S S Q -#72 G,� le.zil 236 -al-6
TELEPHONE
/G 1
PLYING PER= APPLICATION
ADD U1 DATB PEBNZT# 43
OWNER PI.Dl�ER
NATURE OF WORE /G' .S �j�
NEW RELAY REPAIR INTERIOR rOY DU
SAN SEW
WATER i ,Bathtub I Sump Pump/
SEW Lavato I P I E' ector
Toilet Water Softener
4. ON DATE INSPECTION DATE lit. Sink Drinkin. Fountain
Sink other Urinal
f t Waterheater r Slop Sink
r 5 .J Shower /I Grease Trap
t j 7 1 Floor Drain 1 Local Waste
Laundry Tub Site Drain
I j 3/ 1 4 Disposal 1 i Laundry Standpipe/
�l n (,Dishwasherj Catch Basin
.!2„t
n notes on the reverse side(