HomeMy WebLinkAbout0030639-Plumbing (interior) CITY OF OSHKOSH N° 30639
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG
A SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 >1 // e PLAN NO. d„,.._,,r.
OWNER e
DESIGNER , Q
USE /NATURE OF WORK !V .s / / / /
/
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 1 e _ P
BT WH Disp _ WSoft _ CBasin -
?Lav _L Sh DW DF San. Sewer
_WC FDr .__A, SP Ur Storm Sewer
I Sink _ LTub Eject SS _ Water
Other / – /9 C/1/
FEES: Valuation $ 3 Te) o • O 0 Permit Fee Paid $ Kg • 0 I Park Dedication $
ISSUED BY 5 Date 9 — 7 Final /O.P. 1 7- 93
In the performance of this work I agree to perfor all work pursuant to rules governing the described construction.
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SIGNATURE % ., �/ 7 S d-- 7r—? ll
J
AGENT /OWNER T ,[�
DATE
ADDRESS__ 7 C _d_. ,-. � 7X) – 0S
TELEPHONE #
7111ING PERMIT APPLICATION
ADDRESS 97 75 _ . G()
OWNER
DATE ; c i r ? # 3 C ( 3
NATURE OF WORK /1. l� - - / PLUMBER ,4- 1 -1
A
—• . REPAIR INTERIOR
WA r R —___ME. e
r• : A. - - � Sum• Pu
E' ector
4- Ile DATE ZNSPECZ'ZON� '1 Water Softener
- Sink( other
Drinkin • Fountain
i,,.4 i n S C 3 /vI V _ ai _
Tl - �= Slo. Sink
tit L, �"-' • v Floor Drain e- se Tra.
�Y Local Waste
al Laundry Tu.
IIII Site Drain
EN Dis.osal WA Laundr Stand.i.e.- -
F i/ 7# I,/ ) Dishwasher Catch Basin
i
lab ■ ' . , f •
'" - • _ 1- • 'de