HomeMy WebLinkAbout0043488-Plumbing (interior) ;e'
N2
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS
/ `� -�' PLAN NO.
OWNER �R —cA
DESIGNER
USE/NATURE OF WORK / / 4
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 /� —� !. es_
L BT ( WH _1 Disp _ WSoft — CBasin (f____
Lav j -Sh J. DW _ DF — San. Sewer
5 INC / '' FDr SP _ Ur _Storm Sewer
- Sink .L-=tTLlb igcit) _ Eject . SS — Water
Other
[ � D C5
FEES: Valuation $ � �` 5 � ) • ® Permit Fee Paid $ Park Dedication $
ISSUED BY Date ' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L :A / 'C t
AGENT /OWNER DATE
ADDRESS / ik a3!
TELEPHONE
PLUMBING PERMIT APPLICATION �rd
ADDRESS °3S - C 6 1.-- 1 - e ms;
� � DATE , -S7 /// PERMIT# . V? Y ' ?
OWNER / - ' pf— !tL � ?LIMBER _ f - - ---
NATURE OF WORT. / - /!
i RELAY REPAIR / INTERIOR
L
�
III JATER #
•■Y A. v Bathtub Sum. Pu
lili ra E' ector
�� DATE Wil oilet / Water Softener
ON DATE O Ki.t. Sink Drinkin • Fountain
Gi Si.ak other
i _� // _, S lo. Sink
,...1 .�% .y 1 Fl oor Drain
e-se T ..
/ _
♦ Local Waste
// / / Q / mil Laundry u. Site Drain
/, Dis•osal / Laundr Stand•i.e
/ ) I 9 f 14 Dishwasher j Catch Basin
u t 6_ _ (1 svier .
F
/— 7 ( /O K
3 .A
j Ki'l
i
V '''
7/1,..e,_./ ---2--
3
1,7i
\ zj„,,,,,,,,-----' ._-------cl,''
,,,,/ C