HomeMy WebLinkAbout1989-Plumbing (deduct meter) CITY OF OSHKOSH N2 14023
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG fg SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6 C ir/ «.. l i PLAN NO.
OWNER ---.2tM4-e—
DESIGNER
USE /NATURE OF WORK C
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 ��r... i..._ _.�..
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
/— mlu /Lkgr
c ro
FEES: Valuation $ . Permit Fee Paid $ ! Park Dedication $
ISSUED BY / / � Date r, —p2- .L ' Final /O.P. /0 '"a ( d 89
In the performance of s wo I ree p orm all work pursuant to rules governing the described construction.
SIGNATURE P
-
DATE
ADDRESS
TELEPHONE #
PLUMBING RMIT APPLICATI9N i f
ADDRESS. / 1 V e z is e U DATE . 57/ / PERMIT# . /4 i3
OWNER 20-1A 6 PLUMBER /' 1/L/_r c!r---
NATURE OF WORK e/ a iL- C
NEW RELAY REPAIR INTERIOR
SAN TEW # 4#
WATER Bathtub Catch Basin
,STORM SEW Lavatory i Grease Trap
Toilet 1 Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste
/' Sink(other) Site Drain
l� 4 f -- 7 2 11 , 4 r 15 Shower Laundry Stand Pipe
„,4// S Floor Drain Laundry Tray
e) Disposal Wat. Softner
(wry / Dishwasher D. Fountain
07/0/6g— Lti�� ,Water Heater Ejector
Urinals Future outlets
.,.. _______5-7 . 7
f /e /w/cam /D .2 6
J** Violation notes on the reverse side]