HomeMy WebLinkAbout0030987-Plumbing CITY OF OSHKOSH N°_ 30987
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG ►4 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3/s PLAN NO.
OWNER ig I
DESIGNER R-ct.—c--.-2-
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SE /NATURE OF WORK
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 f
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink _L LTub I Eje SS Water
Other l^ /5 1
FEES: Valuation 7 O 0 0 c� O O- l/
Permit Fee Paid Park Dedication
ISSUED BY Date S 7 Z Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE g.17r -ei, jdefr 7,—e/92--
AGE NT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
itDDRESS, /9-e-&----- DATE l l 7 -2 PERtiIT# 3 I zS 7
OWNER ear -r-1
NAT OF WORE iz
NAT=
RELAY REPAIR INTERIOR
SAN SEW
WATER Bathtub Sump Pump
it.; zis. Lavato E' ector
Toilet Water Softener
0:44 CTION DATE INSPECTION DATE i nt. Sink
Drinkin 2 Fountain
p et_r tz i Sink(other) Urinal
Waterheater Slop Sink
7 Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
_`,,Dishwasher Catch Basin
tu a
Violation notes on the reverse aide(