HomeMy WebLinkAbout0039339-Plumbing (interior) CITY OF OSHKOSH N° 39339
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 PLAN NO.
OWNER /1_t;(-?' r
DESIGNER
USE /NATURE OF WORK vsy r
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 1,i
7- f WH Disp WSoft C:' sin G%G
74- Lav Sh _L DW DF San. Sewer
WC FDr t SP Ur
Storm Sewer
�L Sink ---rt LTub Eject SS Water
Other Je--—„..,
v
cA
FEES: 6 d
S. Valuation X25 Permit Fee Paid Park Dedication
ISSUED BY Date `7,7/ T Final /O.P. 5 '9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l G I —Cj y
AGENT /OWNER
DATE
ADDRESS A" C I 6 •7 e)-1-0-y
TELEPHONE
a
j PL' PERMIT APPLICATION
ADDRESS 3 5LS I L.s /4 ,2 DA'Z'E e F� :4,, T# -7`37 OWNER I. LER s
NATURE OF WORD i SP i
NEW RELAY REPAIR /c s BIOR
5.#11 SEW
WATER 2 Bathtub 1 I Sump Puiw
0.4 A. Lavato f 11 f Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinkin g Fountain
Sink(other) Urinal
Waterheater Slop Sink
1 Shower Grease Trap
Floor Drain
Local Waste
Laundry Tub Site Drain
S /D-b f Disposal Laundry Standpipe
Dishwasher Catch Basin
Vav,J6 t !Fifj:;)
Violation notes on the reverse side]