HomeMy WebLinkAbout0039338-Plumbing (interior) CITY OF OSHKOSH N° 39338
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS j� 1 z-- PLAN NO.
OWNER ,..c- f-
DESIGNER
c x e j_ z
USE /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 A
2- BT WH l Disp WSoft CBasin
tf Lav i` Sh DW DF San. Sewer
3 wc FDr _L SP Ur Storm Sewer
Sink i LTub Eject SS Water
Other 19C_4),,,,...-. �i o-
T J�
FEES: Valuation h7 G Permit Fee Paid 6 0
Park Dedication
ISSUED BY sAZ Date
�S S� Final /O.P. L
7 "Z7' 97`'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE J y 5
AGENT/OWNER DATE
ADDRESS_ S3? /7 ,g` G�z„z„.��( 7 �G/ )_c S
TELEPHONE
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i PI. L. INC PERMIT APPLICATION 7),, 00
ADDRESS r.92- s /l D ,-L.._ DATE li /is 9 3 FE :1 T# 5,32 8
OWNER it F
PLUMBER ER 1 g
NATURE OF WORE Sr -4111111F- /r-
NEW RELAY REPAIR /INTERIOR
SAN SEW
WATER ,Bathtub h
120811 SEW Sum,
Lavatory in/ Ejector
3 Toilet /0/ Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
i Sink(other) Uri r a?
W to heater Slop Sink
S�c�w &r Grease Trap
1 Song Floor Drain Local Waste
Laundry Tub
Site Drain
/ii
Disposal Laundry Standpipe/
,Dishwasher/ Catch 9asin
C
t i
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Violation notes on the reverse s ide] 00