HomeMy WebLinkAbout0031125-Plumbing (interior) CITY OF OSHKOSH N2 31125
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG , ] SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS )' 8 -/ 1(_ el PLAN NO.
OWNER g _e__,/ ev_,..,..yz--
DESIGNER
USE /NATURE OF WORK ' Q — '
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent p Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp p Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR MVO
BT / WH Disp WSoft _ CBasin
3 Lav "- / DW DF San. Sewer
3 WC / FDr / SP _. Ur Storm Sewer
Sink LTub Eject SS Water
Other / — />t C tA) 4 . ed�A -
FEES: Valuation $ r el Permit Fee Paid $ to Q • O a Park Dedication $
ISSUED BY O Date /CI) — / — 77-- Final /O.P. /0 9 2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR 10 -4 - gy
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
P PE APPLICATION
ADDRESS, -8'S/ / _ DATE , 7/0 5' 2 - PER IT# . 3 `V ` S'
OWNER i _ , ,I: ER G'u_ c„,
NATURE OF WORE itlsFe - _
NEW RELAY REPAIR � i • RIOR
SAN SEW #. #
WATER / Bathtub t r
d4 D{, ,
• ) Sum Pu D /
3 Lavato 11 E'ector
3 Toilet / Water Softener
' if • DATE INSPECTION DATE Kit. Sink
Drinkin• Fountain
A (T ��� 7 � / q
Sink Other Urinal to / Waterheater / Slop Sink
Z Shower // Grease Tran
/a l
�a Z' /Floor Drain / Local Waste
, ,Laundry Tub Site Drain
Disposal / Laundry Standpipe/
. / -,Dishwasher 1 Catch Basin
I t C,4 61.0-4i, .....,e.t.t..-r-4-
** Violation notes on the reverse side