HomeMy WebLinkAbout0041415-Plumbing (interior) CITY OF OSHKOSH N2 41415
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG F r SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS g o/ e PLAN NO.
OWNER T
DESIGNER ll
USE /NATURE OF WORK 1/J b''
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 NL-S 8
BT _L WH Disp WSoft CBasin
Lav Sh DW _L DF San. Sewer
"14 WC 3 FDr SP 3 Storm Sewer
Sink LTub Eject SS Water
Other Y g o
FEES: Valuation P ermit Fee Paid o d Park Dedication
ISSUED BY Date 9-3/7 K Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Al CBS iS/3J/9
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLahItNc PERMIT APPLICATIo C i
ADDRESS O
1 4: DATE 3 S PERMIT# W
T
i
M
owing 7-s
NATURE OF WORE i
NEW RELAY REPAIR =man
SAN SEW
WATER Bathtub Su Pu1
.;y A. I 1 E'ector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Ri t. Sink Drinkin g Fountain
Sink(other) 4 Iirinal i
U 9 6? Woterheateri Slop Sink
Shower Grease Trap
D i /c/,'S Drain I1/ Local Waste
I� Laundry Tub Site Drain
Disposal Laundry Standpipe
,(7.// Dish er Catch Basin
010,71' i
9; 11+ ge c I 6
Violation notes on the bfreverse side(