HomeMy WebLinkAbout1992-Plumbing (shower & laundry tub) 41.) CITY OF OSHKOSH N° 27547
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 9/6 PLAN NO.
OWNER F-
DESIGNER o USE /NATURE OF WORK (- - ( ". .,e_--;
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 LTub Eject SS Water
Other
FEES: Valuation $ / 4" iro ,° a , Permit Fee Paid $ /o o 0 i./' Park Dedication $
ISSUED BY Date g ,-- G — 7 Final /O.P. l - J 6 - 9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 44,t.
��t ��
AGENT/OWNER ((( DATE
ADDRESS 13'26 a...,...3 . yr/ 4&
TELEPHONE #
/-‘ PERMIT APPLICATION
ADDRESS. te.427
DATE / ` 9 - 9,2 mica* , -2 7 s V 7
OWNER :0_41..�.c.-4 tc.i i .�. PLC 6 ..-E ? s —
NATURE OF WORE -�_ / 7 w
NEW RELAT REPAIR _ _ INTERIOR
SAN SEW # # i
'STATER Bathtub Sump Pump
A. Lavato E'ector
Toilet ,---- Water Softener
INSPECTION DATE INSPECTION DATE Zit. Sink Drinking Fountain
Sink(other) Urinal
L f _ 3 yaterheater Slop Sink
/ ,Shower Grease Trap
Floor Drain Local Waste
/ Laundry Tub Site Drain
Disposal Laundry Standpipe
1 / 6 Dishwasher a••••• Catch Basin
C c. ---tom
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** Violation notes on the reverse side]