HomeMy WebLinkAbout0039412-Plumbing (interior) CITY OF OSHKOSH
No 39412
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBGX SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 Q .2.-- PLAN NO em/ OWNER -a-e-,70--1.7
DESIGNER
USE /NATURE OF WORK 4/�.., c_ct„...,...e,„ 64,_—__..c;Z ,,,,z,/,
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 g --e-f--
BT _L WH Disp WSoft CBasin L /L�
'2 Lav Sh DW _L DF San. Sewer
yWC 3. FDr SP Ur Storm Sewer
Sink L LTub Eject SS Water
Other
FEES: Valuation 7 00. o C Permit Fee Paid a a Park Dedication
ISSUED BY `'6/ Date /Z S/ Final /O.P. 9 9 g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �i ^y /s4 j /7 s
AGENT /OWNER DATE
ADDRESS h .2 ,3 z 7J!
TELEPHONE
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PLUMBING PERMIT APPLICATION
ADDRESS 3 42 4 7 DATE l 1 PER CT# l Z.2-----
OWNER ��11.. PLUMBER
NATURE OF WORK
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER Bathtub Sump Pump
STORM SEW 9-Lavatory f Ejector
-1 "Toilet f Water Softener
INSPECTION DATE INSPECTION DATE Tit. Sink Drinkin g Fountain
Sink(other)
Urinal
Waterheater Slop Sink fr
I q t ,Shower Grease Trap
(o Floor Drain Local Waste i
7 g GS Laundry Tub/ Site Drain
.t, '/0 5. Disposal Laundry Standpipe
J 7 6, 7 Dishes sher Catch Basin/
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Violation notes on the reverse side{