HomeMy WebLinkAbout0039333-Plumbing (interior) CITY OF OSHKOSH
N° 39333
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / D ' /./ PLAN NO.
/ WNW /
OWNER
DESIGNER
USE /NATURE OF WORK I f .Z.Z
/ y
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 —.C °7 ifC----..-e--,...- /e
BT F WH / Disp WSoft asin
3 Lav �Sh ` DW DF
San. Sewer
3 WC r FDr SP Ur Storm Sewer
Sink LTub Eje c . SS Water
Other 1 .1 cit/ , /
/ f
FEES: Valuation $ 7` 6 - 6 d Permit C. 0 , 0 0 1
Fee Paid $ Park Dedication $
ISSUED BY s4-- --.-.V Date `��l s - Final /O.P. 1.029.94
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
J SIGNATURE C J --ty
J /OWNER DATE
ADDRESS ! 1 , r a // 7 3Q c) ,
TELEPHONE #
fZ
?Lei I • INC PERMIT APPLICATION
ADDRESS, -1/ e$ -6 ' / DATE. 1 'j 'Q-0�9 -1 • I T¢ ? ���
OWNER , 1 / f LER
NATURE OF WORK /f/SPA ` i / ,:;-• /
NET REPAIR , i r RI08 t
SAN SEW #
WATER
) Ba thtub
Sum, Pu
■
• ; A. i Lavato / / (
' Ejector
Toilet / Water Softener
tBSPF`TION DATE INSPECTION DATE / Kit. Sink / �� Drinkin g Fountain
3/Z Sink(other) Urinal
/ Waterheater / Slop Sink
Shower / / Grease Trap
Y / 1 Floor Drain / Local Waste
1 Laundry Tub Site Drain
4 ( AC l.) ( ;I
� Disposal Laundry Standpipe 1
�� Dishwasher / Catch Basin
y \/4;► % � /IS / £. - ' r/$
- F /q 95t 7A ,i
** Violation notes on the reverse !idol