HomeMy WebLinkAbout0047405-Plumbing CITY OF OSHKOSH
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PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG [ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS aLLj / /L(Ihirt// S . PLAN NO.
OWNER ' PQ 1 k 0 D. B nra re Y
DESIGNER 1 L
USE/NATURE OF WORK jr\A+0-012 .60,y2 pI1.1
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 • 6 $ $
_ BT _ WH Disp — WSoft — CBasin
Lav Sh DW _ DF — San. Sewer
1 WC _ FDr SP — Ur — Storm Sewer
Sink _ LTub Eject _ SS — Water
Other
FEES: Valuation $ y. e e P- it Fee Paid $.�c� Park Dedication $
ISSUED BY Date / 7°261-- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
Plumbing Permit Work Card
Job Address 2441 MINERVA ST Pen it Number - ee009e8 7 �0._S- Create Date 06/27/95
Owr;er PAUL D BEDNAREK Contractor JEFF RASMUSSEN
"ategory 410 - Residential- Interior Plan Value 00,0 c)
&ei98-
.thtub Shower / Ejector /Grind Dip Well F Prep Sink Grease Trap
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Receptor
Lavatory / Lndry Tray Local Waste Wait. St. Shamp Sink Other
Toilet / Lndry Stndp Clothes Wshr Ice Chest FIr/Wst Sink
Res. Sink Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher Beer Tap /Soda Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Use /Nature
of Work
INSTALL BASEMENT BATHROOM
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
.cer Service
Date Type Inspector U Approved
(.(&/ - )-9
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