HomeMy WebLinkAbout0040927-Plumbing (interior) CITY OF OSHKOSH N9 40927
PERMIT — APPLICATION AND RECORD -
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / `� Z-� - LAN NO.
OWNER J , �'S��x�
DESIGNER ,�/ �n /
USE /NATURE OF WORK /1/ J - ' 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 7/
BT WH i Disp _ WSoft _ CBasin GG
S Lav / Sh DW _ DF — San. Sewer
`(' 'Y WC / FDr r SP _ Ur — Storm Sewer
L Sink L LTub _ gject . — SS __Water
Other / _t 61/0/.>4
: V- s��S�o 2 c3 ✓
FEES: aluation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date � Final /O.P. 9'o7 ' R
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE g --3-
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
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O MIMING PERMI APPLI ON
ADDRESS /6 g6, - ' - • �yt/ i DAZE (/' / 9 9 " PERMIT# ..._22.1-",..2._____
OWNER ii. L; _' ✓-, 1 I .1:Eg _____
NATURE of WORE
- _ - _-•- - -_, � � /
NEW RELAY REPAIR D1 TE : • R
WATER IMM Bathtub l! WI Su . Pu
•;+-+ A. Fla stla -� E.ector
Fialiffirill11111 Water Softener
,i. •l* ON DATE
INSPECTION DATE Drinkin • Fountain
4- ` S7 3 - -- ,0G MI Sink other II. ._
CI ( 6 / /
WA/19 c gyp, D pia W_ t heater Slo• Sink
?D Mlr/ •. Grease Trap
\ ( /„L 7 A C V I ' 1 Floor Drain/ Local Waste
/ Laundry Tub Site Drain
t Disposal / Laundry Standpipe/
F 7/4qy- i Dkhwashe4 Catch Basin
r M C F' Du iz 1/
Vfr C' ,,,e v Pryer
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