HomeMy WebLinkAbout1993-Plumbing (laterals) (2) Y:.? o
Clo) CITY OF OSHKOSH N° 36882
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG If SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ' ' , , /7J
PLAN NO.
OWNER i as
DESIGNER A J
..e-e--.-1.--7 - 0,_-e--g-e-C4 ii.f-- .
USE /NATURE OF WORK > °L
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 k ,_,6a_...._
BT _ WH _ Disp WSoft CBasin-
Lav ._ Sh DW DF 4 San. Sewer I • ®� C
— WC — FDr SP Ur Storm Sewer
Sink LTub Eject SS ± Water at "
Other
FEES: Valuation $ rC OO • o 0 Permit Fee Paid $ °Za ' ° o Park Dedication
ISSUED BY $
Date /0 / 73 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /� ✓�vir - l / *--(/' f
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS /760 / - DATE « /' 3 _ PER T# , 3g 2 2
i
OWNER , A i p 1 . I. Ar • -0' —f '
NATURE OF WORK A/ / Z j /
NEW RELAY REPAIR INTERIOR /
SAN SEW 6 , J c • •
MATER Gc� Bathtub Sump Pump
• �y A. Lavato Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
1( 2 — Sink(other) Urinal
Waterheater Slop Sink
R /' � /�/ �/,'' .� ,Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
��,Dishwasher Catch Basin
** Violation notes an the reverse side j
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