HomeMy WebLinkAbout0033380-Plumbing (addn to #28599) CITY OF OSHKOSH N° 33380
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 41 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 0 4' C ) �l PLAN NO.
OWNER 1
DESIGNER
r
USE /NATURE OF WORK t�S 7�
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 `
BT WH Disp WSoft CBasin
Lav _ Sh DW DF San. Sewer
WC FDr _ SP Ur Storm Sewer
Sink _L LTub Eject — SS Water
Other
/
FEES: Valuation $ t® 6 0, 0 0 Permit Fee Paid $ `/ -1 - ° C Park Dedication $
ISSUED BY T
Date 9. T 9 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ...-.4 �� _ �� /i i'
AGENT /OWNER DATE
ADDRESS _ /I D CL-} .� Ol3�_ �� ' : 5
TELEPHONE #
PLUMBINO PERMIT APPLICATION
ADDRESS, 14 :& -te ,,,, DATE , -2 - 1/ - S 3 PER /T# �3..q
OWNER e c , /-7 na
NATURE OF NOR[ ,--.-- ,- . , g` —
NEW RELAY RpAIR _ _ INTERIOR
SAN SEW �, ► #
WATER Bathtub Sump Pump
$TORN SEW. Lavatory Ejector
/ Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
1 Sink(other) 6 4 Urinal
r ) - o - 73 WSterheater Slop Sink
Shower Grease Trap
s Floor Drain Local Waste
/ Laundry Tub Site Drain
Disposal Laundry Standpipe
,Dishwasher Catch Basin
A* Violation notes on the reverse side]