HomeMy WebLinkAbout0043475-Plumbing (interior) -/U
N2 - 43475
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,( SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 1 b Z 2 -_ ue. Zy PLAN NO.
OWNER ✓2't= -
V ia—
DESIGNER ,r ■
USE/NATURE OF WORK / ...o► / 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 //1
3 BT / WH a Disp — WSoft — CBasin
3 Lav _ Sh _L DW _ DF _ San. Sewer
WC _LFDr SP _ Ur — Storm Sewer
_I_ Sink -L tr/,C Af _ Eject _ SS — Water
Other
KS c� • G C's O . a 4 / --------.
FEES: Valuation $ Permit Fee Paid $ Park Dedication $ .
ISSUED BY .. Date KZ y , S — FmttVO.P. A -� `� t
- 9 S
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �£ 1 / ' - g
AGENT/OWNER DATE
ADDRESS /O ?6 C-7 4---• ,�) /- !7 S C
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS /b j L - Z- i O -z e s
. �,2, DATE PE T # ��,
OWNER
PLUMBER Qz-,-
NATURE OF WORK ✓t/X F
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER #
sTnRM SEyL - - � ( Su Pu . J
In E'ector
3 Toilet Water Softener
lail SON DATE INSPECTION DATE L Kit. Sink / ! j Drinking Fountain
Sink(other) urinal
1 Waterheater ( Slop Sink
Shnwer
,--^ Grease Tran
r � / e I Floor Drain I Local Wast
(k C� /// / Laundry Tub Site Drain
I Disposal 1 1 Laundry Standpipe
k)-41/41 - )2/17L.° t Dishwasher L__. , Catch Basin
41 b J i I i2- 1 / � '
\J og
4 4 ,1/4)---2,6i, .....z.„.e r ' / e"
.ers �ilel
LPL
-,- 41 i "/ 5 - 1 -141 r i i___ c
1
&.(� v 99$3 V
.-co ,f, T 41I 4'
G A k
11(.0
Sill (
s
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