HomeMy WebLinkAbout0032371-Plumbing (interior) CITY OF OSHKOSH N° 32371
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG t ] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS r 7 Z S .)' PLAN NO.
OWNER Y" ke2,
DESIGNER
USE /NATURE OF WORK
' g - ,1,--z-,_,.;Z ,i-t-e
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 /
/ BT / WH _L Disp WSoft CBasin
Lav 3 Sh DW DF San. Sewer
WC / FDr _2. SP Ur Storm Sewer
Sink LTub ' Eject SS E Water
Other - it , / - C (....) d.,ft,,'
FEES: Valuation $ 4 d O O - b a Permit Fee Paid $ - Park Dedication $
ISSUED BY /J✓ Date / / 3 3 Final /O.P. 7 -- le l 13
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE < 7Cc /-/T-,73
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
DRESS '?7--'2"-- P L u " INC PEST APPLICATION
cam � . SATE 6 � 3,23 7/
r
NATtia OF WORE �S� r° _ /
PLUMBER
PE&!IT#
, �� REPAIR /
WA r R ��_ PRIOR
ter- F_� su, . P �.
4.;Y A' 11101.11111.1111111 'm..11...111111111111111111
/� INSPECTION INSPECTION DATE DATE � � E ' ec to u
G7 / ,,/e .y � ` , / A , Water Softener
I - j Other � i = Drinkin • Fountain
�` ' • Slo. Sink
77/ 3 Os a l Floor Drain � e -se Tra.
im Laundry Tu. Local W
WM Dis.osal Site Waste
Drain
WM
Dishwasher = Laundr Stand.i.e
r 8 - Catch Basin