HomeMy WebLinkAbout0031677-Plumbing CITY OF OSHKOSH N° 31677
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /. O ° 4-8..- PLAN NO.
OWNER C-ir
DESIGNER
USE /NATURE OF WORK /Q ' cZ
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
BT WH D isp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub __SS Water
Other / S• " a
FEES: Valuation $ /2 0 r � 0 0 Permit Fee Paid $ /�o a Park Dedication $
ISSUED BY Date / j 7 72- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 04. (f //b)`i2
AGENT /OWNER D bit
i2
13 To 4�e.AS 4 23- 413
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS, "°0 0 S #a-- e DATE ' a 7 ? - 1 - maim* . 3/ 7 ?
CWNER , Cl ° P]�' P s--
NATURE OF WOE , u U /6-„--- d- 41 1-isti .-n -- 34
NEW RELAY REPAIR INTERIOR
5AN SEW # #
WATER Bathtub Sump Pump
STORM SEA Lavatory Ejector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE tit. Sink Drinki Q Fou ntain
P ^t 04, 6 /I/ , Sink(other) U ina
.) 4/....- 1/14.....ifi-r- u
w It � Waterheater Slop Sink
hower s terh Grease Trav
,Floor Drain Local Waste
Laundry Tub 2t- Site Drain ( ")
� 0 Disposal Laundry Standpipe
j Dishwasher Catch Basin
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