HomeMy WebLinkAbout0037194-Plumbing (addn to #32371) Y/6
CITY OF OSHKOSH N° 37194
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0. 7_z - —/
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK e-:4 3-2-3
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat p NC ❑ Vent ❑ Fuel /System Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
— Sink LTub Eject _ — SS — Water
Other /—
FEES: Valuation $ S d , n — Permit Fee Paid $ / o - 0
Park Dedication $
ISSUED BY Date J� / 3y� Final /O.P. 7 J 2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e4e G �� /e _ /3 ,
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
PLDMS PERMIT APPLICATION /
ADDRESS,
e•27-2-5— i -c e� DATE . 7// // • RMIT# . 3 7/7
/.4 r
OWNER- �� -�-- r _ PLUMBER �j / 3 z3 7/
NATURE OF WORE /' F
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER ,Bathtub Sump Pump
Lavato E•ector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(Other) Urinal
Slop Sink
�yJaterheater Grease Trau
7// x/73 Shower
Floor Drain Local Waste
Laundry Tub / Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
** Violation notes on the reverse sidel