HomeMy WebLinkAbout0040930-Plumbing (interior) K/a
CITY OF OSHKOSH N� 40930
PERMIT - APPLICATION AND RECORD -
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGIT SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,2`5 ^' & 5 i �/
/ PLAN NO.
OWNER 6 '
DESIGNER ,� / (� - 0 042---- =;L .. USE /NATURE OF WORK /l/ J E ,
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"/
? WH J. Disp _ WSoft — CBasin
3 Lav 4 Sh (• DW _ DF _. San. Sewer
WC I FDr / SP _ Ur _ Storm Sewer
L Sink _t__. -4 _ Eject _ SS — Water
Other
FEES: Valuation $ 7 ' 3-
�'� ® .‘ , O � Permit Fee Paid $ Park rk Dedication $ p
ISSUED BY Date �/7 Final /O.P. £ /� /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU — ,
AGENT /OWNER
DATP
ADDRESS
TELEPHONE #
52o
PLV ING PERI= APPLICA
ADDRESS S DATE l /// l ,,��,,,, // PEffiCT# V �
OWNER � PLUMBER . �'1
NATURE OF WORE
/1/-5 �. _ , /
NEW RELAY REPAIR INTERIOR
SEW # #
CATER Sump Pu
Ejector
Toilet 1 1 Water Softener
INSPECTION DATE INSPECTION DATE t Kit. Sink Drinking Fountain
Sink(other ) Urinal
l Waterheater/ Slop Sink
/ � � l � /� " 6-1-- , / , Shower J Grease Trap _
�I / Floor Drain / Local Waste _
1 / ? j Laundry Tub Site Drain
✓ / Disposal / Laundry Standpipe f
c _ 5�� '; J . �Dis washer/ C ch Basin
J , ( U
(. - 1/4),f --/ ,..1 U
** Violation notes on the reverse side]
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