HomeMy WebLinkAbout0032837-Plumbing (interior) CITY OF OSHKOSH N2 32837
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /1/ %/ PLAN NO.
OWNER h. D6
DESIGNER /
USE /NATURE OF WORK .- f /
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 � /T`G
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
r Sink /� 1 LTub Eject /f SS Water
Other 1- Cs esa / / - (--
FEES: Valuation $ /7 d O •O Permit Fee Paid $ / O " Park Dedication $
ISSUED BY Date - '3 2- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �- 5 _ 7 3
/, / AGENT /OWNER DATE /
ADDRESS 417) & v • —' /f ('-e L____✓ c› 3 45
TELEPHONE #
'Lc
PLIIMBING PERMIT APPLICATION
gtDDRESS /7 2A C1101 A2h- DA / - ' 44-9 email 3 .2 g37
OWNER 4I7144) pymazg ' DO/az Na.4./..4 .0., ■
NATURE OF WORE. ..4L4,./ I i 1iAL-10 J.-AG , J .0-..e.,'
.... NEW RELAY REP. 4 _ INTERIOR - SAN SEW
, # Bathtv *
4..--
WATER
Sump Pump
. ... ,
Lavato E'ector
Toilet Water Softener
q.- 4 ell 10 ) DATE INSPECTION DAME Kit. Sink Drinking Fountain
n ' 1 Sink(other) -,/ (z. f Urinal
Waterheater Slop Sink
Shower / -- Grease Trap
I" 1 - ) 9 Floor Drain
t Laundry Tub / Local Waste
Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
r
A . 6 - . • -
,- // , (..•,-4-- '4
.
0 ,2 e..) 2_ .< -. ;_ q _
** Violation notes on the reverse sidet
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