HomeMy WebLinkAbout0037835-Plumbing (interior) CITY OF OSHKOSH N° 37835
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG j SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / e (-�
PLAN NO.
OWNER .0 Wi r
DESIGNER
USE /NATURE OF WORK V ' ` %-ifrz---s—<=:Z ,--e..-5,
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 -J r
Z— BT I' WH _ Disp WSoft CBasin —!��
- 0 Lav F Sh / DW DF
3 San. Sewer
WC ± FDr ._1_ SP Ur Storm Sewer
Sink E-Ttr Ej SS Water
Other /—
FEES: Valuation $ - Da- 0 Z) Permit Fee Paid $ L - 0 o"
Park Dedication $
ISSUED BY Date
/ 7 Final /O.P. : " q -9 ((
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _�.‹■ _4 `_---,....,, .,„„, 4P 3 2- 1/44/7/
/ AG O NER , r
/ / / DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION /
ADDRESS /0 C Al- 4e-, DATE . / /erg P 3 PE :..,s T# -- 78 .3.5—
OWNER .c -,-. ' A .�i PLUMBER . --rte ,7 /
.
NATURE OF MORE # 4 P - it _Mir, ,! /
NEW RELAY REPAIR / INTERIOR
SAN SEW # #
i T R A Bathtub (1 L Sump Pump j
•ZY A. 3 Lavato 1 / ( Ejector
3 Toilet Water Softener
INSPECTION DATE INSPECTION DATE / 'Kit. Sink / Drinking Fountain
Sink(other) Urinal
L2/72--- , / Waterheater / Slop Sink
\ , 1 Shower / Grease Trap
I 1 J3 / Floor Drain Local Waste
• _ / Laundry Tub f Site Drain
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2 / Laundry Standpipe /
Ir. 3/ #44 3 rs Dishwash r Catch Basin
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1 ,„,( 87- _s/4. & (k.) e,-,..3 ---")./-- i \ l „. . , _..,,,,,, jr .
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