HomeMy WebLinkAbout1989-Plumbing (interior) CITY OF OSHKOSH N2 12515
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /6' 75 ve-ie ' /zz_ PLAN NO.
OWNER w ar SS
DESIGNER
USE /NATURE OF WORK 1 5P X1.57/ r/ju-z- l %,-r
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 Lie/ }%
BT ._L_ WH Disp _ WSoft CBasin
Lav Sh i DW DF San. Sewer
Li WC I_ FDr _L SP Ur Storm Sewer
4 Sink _ LTub Eject — SS Water
Other / - 7441 ..e 3 GC„ v „,
/c
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FEES: Valuation $ d0 Permit Fee Paid $ !, Park Dedication $
ISSUED BY , '1. 0 ' 1 - 3 , '7 Final /O.P. x/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / I .t�` //// �� f 3 , - e r
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATI N /
ADDRESS /(75 . �/ DATE /�� 9 / r "i PERMIT# /.. c/S
OWNER �r , s / r,'z' - PLUMBER ,/ Z/
NATURE OF WORK e-4 Ai . Sfi
NEW RELAY REPAIR INTERIOR
SAN SEW # /k
WATER / Bathtub Catch Basin
STORM SEW 3 Lavatory fil Grease Trap
3 Toilet pi ) Sump Pu /
INSPECTION DATE INSPECTION DATE / Kit. Sink ( Local Waste
Sink(other) Site Drain
7(P - /Pp ; / Shower ( ) Laundry Stand Pipe/
/ Floor Drains Laundry Tray
i(F v 7/ /3 , I Disposal J Wat. Softner
//7/ I Dis waer C, /9 /A/ l i Water Heater) Ejector
V " Urinals Future outlets
C4p� 3 ~ 30 ,
I** Violation notes on the reverse side]
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