HomeMy WebLinkAbout1989-Plumbing (interior) CITY OF OSHKOSH No 12842
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 4 r° "(44,;-"4— 11 PLAN NO.
OWNER /6"//4 / r &f /it/.(e.
DESIGNER
USE /NATURE OF WORK _ _ -2_.,� - ....s-,......, l i ` 1 AP( i .0/1( .
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 L47 A
-R BT _L WH 4 Disp WSoft CBasin
Z Lav _4 Sh DW DF San. Sewer
WC 4_ FDr i SP Ur Storm Sewer
Sink LTub Eject SS Water
Other / 4 1 7 14 t _,C7 / p
/y >i "
FEES: Valuation $ l /(. Permit Fee Paid $ v g Park Dedication $
ISSUED BY , - Date I /2"- - 8 q Final /O.P. 8-5-8?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,C (7 �G�'�% ■ ‘ 2 2
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PL I;ING PERMIT APPLICATION / 2 D q Z
-
ADDRESS • Ai V&A' 1 I DATE / - 7 PERMIT# )4
OWNER
% i� . ./M - �.�►a � v � PLUMBER . GE(-/„ Ac-r%
NATURE OF WORK i4✓DLi S/
NEW RELAY REPAIR INTERIOR
SAN SEW # ' / #
WATER a Bathtub ( Catch Basin
STORM SEW 2 Lavatory) ) Grease Trap
D. Toilet H I / Sump Pump
INSPECTION DATE INSPECTION DATE ► Kit. Sink 1 Local Waste
/ Sink(other) Site Drain
f.r 3k/0 uppeA-'O' '7 / Shower I ) Laun.ry Stand Pipe 1
1 Floor Drain f Laundry Tray
U / it / Disposal ( Wat. Softner
v j Dishwasher D. Fountain
/ Water Heater ( Ejector
ii, rl 7, ) Urinals Future outlets
(** Violation notes on the reverse side