HomeMy WebLinkAbout0028599-Plumbing (interior) CITY OF OSHKOSH N°_ 28599
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 c f46 PLAN NO.
OWNER ' " / 4
DESIGNER
USE /NATURE OF WORK N-SF -
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
` 3 BT / WH / Disp WSoft CBasin
b Lay ZSh ± DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other c - - - — - 1 C C.J ,./ , /
FEES: Valuation $ ".S 0 d O • e3 d Permit Fee Paid $ C 0 O / Park Dedication $
ISSUED BY (-3,e-- Date Sty9
Final/O.P. a '76 "
In the performance o is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /F--
�// AGENT /OWNS DATE
ADDRESS btO Lz /_ .. - L 0-4 1 s-
TELEPHONE #
,t, .4- 2 + I +S - + mss IW
/ PLUMBING PERMIT 1PPLICATIO s
ADDRESS - ==- DATE 3 Y y - ? S
PPERMIT* ,
OWNER ii. ,Mir .... '_.4.! PLUMBER AU" �_. '
f
NATURE OF WORE . - -, . �
G
AO
1' s , / , -- -
NEW RELAY REPAIR INTERIOR /
SAN SEW /# # 1
CATER Bathtub ! ij
ANC r• ' E � A. G Lavato Sump or /
E•ector
DWPMFIrrillinnilialli Water Softener
iF ' or, •z 6� _4 I NSPECTION DATE
141. � 08it. Sink / Drinkin • Fountain
- /fez 3 —1 7 pi, col ,3 Ifll Sink other =t,Liill • , -
c�,,// W.7 c. )_. Waterheater Slop Sink
"r� Shower I Grease Trap
- .2-70-9
f Floor Drain / / Local Waste /
� 1p- Laundry Tub / f Site Drain
i � ' 1 _ L �•.) • Disposal 1 1 Laundry Standpipe /
' i / Dishwas er/ Catch Basin
• i y o =: — . (N) I) � � Vi ti - 3 " J a
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