HomeMy WebLinkAbout0036637-Plumbing (interior) 4a
N2 36637
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / `/f./ PLAN NO.
OWNER /
6/ _ t i / -
DESIGNER
USE /NATURE OF WORK // - &/ - j
/
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 - /cam
BT -7(-
__C_ WH Disp 1 ! WSoft _ CBasin
3 Lav Sh - DW DF San. Sewer
3 WC f FDr - SP Ur Storm Sewer
L Sink _1_4, eb AC by — Eject SS Water
Other
FEES: Valuation $ ` 5700 0 6 Permit Fee Paid $ 6 K `O 0 Park Dedication $
ISSUED BY Date <�°z��-3 Final /O.P. <- -' ' 91 /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
/
P 7 93
SIGNATURE .. -..../,./ -..../,./ ��„.,� �, 33 2 - /O /
TE
/ ' / / / AGENT /OWNER ( D
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION Se,/ a
ADDRESS. /° gs L ,� // DATE . //' S"" S - :,..1 T# S�� 37
OWNER , 6---e /1I. 6 - , Al : � . /
LATURE 07 WORE _ - K
NEW RELAY REPAIR ✓ INTERIOR
SAN SEW _ # A- 7 0 0 #
WATER / Bathtub / / , Sump Puiw
It•;., A. 3 Laveto E'ector
3 Toilet Water Softener
INSPECTION DATE INSPECTION DATE / Kit. Sink / Drinkin g Fountain
Sink(other) Urinal
,_ Waterheater / Slop Sink
Shower 1/ Grease Trap
1 //3S � �
3 /1�f, V . / Floor Drain / Local Waste
(-A / / 3 Laundry Tub / Site Drain
v1 / Disposal r / Laundry Standpipe /
I a �', I '-,./L/ _ / . Dis washer ` Catch Basin
1
g
i) i. { 4- k._.01f
** Violation notes on the reverse side!
4 ' 3 71 .. - v-- e'er