HomeMy WebLinkAbout0031134-Plumbing (interior) CITY OF OSHKOSH N° 31134
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG f t6 SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS b S - / '
/ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
N5 - //
/
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 kiat
�BT .1_ WH _( Disp _ WSoft — CBasin
? Lav _ Sh f DW _ DF San. Sewer
y WC FDr 4_ SP Ur Storm Sewer
Sink _ LTub Eject SS — Water
Other C - 4 e~ i/lJ ,r c�
x K �°"
3 S'Z
FEES: Valuation $ 3 ? 6•2 '/ 3 - 0 6 Permit Fee Paid $ � ^ O a rk Dedication $
ISSUED BY Date /c' _ / 9 v Final /O.P. / /A/Oca-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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,L1 L-,,,, IQ- 1- Q
AGENT /OWNER DATE I
ADDRESS
TELEPHONE #
/ PLUMBING PERIIIT APPLICATION
?iDDRESS s 6 S' �` DATE j�� PERMIT', . -? -
OWNER . 1 — PLUMBER , ) z=- - -
NATURE OF WORE /-25) - &47:777:77:75
NEW RELAY REPAIR INTERIOR
SAN SEW # #
WATER Bathtub ¶ Sump Pump /
vato .2..192..r---------
- Toilet / Water Softener
INSPECTION DATE INSPECTION DATE ( Kit. Sink 1 Drinkin g Fountain
Sink(other) Urinal
(A 7/ Z 2 fJ A / Waterheater / Slop Sink
,Shower Grease Trap
'/ /_� _ 7/3-1? / Floor Drain Local Waste
V Laundry Tub Site Drain
kiC,0-7,1'.1� 1:Disposal / ( Laundry Standpipe
,,Dishwa her / Catch Basin
I / 0 1) kic-r-.2-4 - imisit=
I
** Violation notes an tine reverse side _ G
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