HomeMy WebLinkAbout0036580-Plumbing (interior) 3L /o
CITY OF OSHKOSH N ° 36580
-
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG m SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 8 V /` -P.'"- PLAN NO.
OWNER G Gy,--t(
DESIGNER (�
USE /NATURE OF WORK AJ - FR - l7,-J-,-1-
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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 J ez 14 - 7 - "-- 4 .( -- . <7
BT WH Disp WSoft CBasin
3 Lav � / DW DF San. Sewer
3 WC / FDr SP Ur Storm Sewer
/ Sink _L Lab /4 C U,/ Eject _ SS _ Water
Other
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FEES: Valuation $ 4 7 1 3 06,o d Permit Fee Paid $ �P - 0 ' Park Dedication $
ISSUED BY - / 3/17/0
Date � ' ZV7_7
Final /O.P.
In the performance of t his work 1 agree to perform all w rk pursuant to rules governing the described construction.
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SIGNATURE . /O 7 _7 3
AGENT /OWNER DATE
ADDRESS S i 4! !/ /Wc/0 i 23 -e
TELEPHONE #
i
P PERMIT APPLICATION
ADDRESS -.8 : �, = __ � LU a ' - 1 ' DATE l -? PERMIT# .C� 4-C"°
OWNER _ - %jrir /f - 1.1: -4: S p 4- g
NATURE a WORE 46 - g - - - / c
NEW RELAY REPAIR / IN'TERIOa
S SEW # #
WATER i / Bathtub / Sump Pump
3 Lavatary / 1 1 Ejector
Toilet 11/ Water Softener
INSPECTION DATE INSPECTION DATE / Kit. Sink ( Drinkin s Fo untain
T Soo `=' Sink(other) Urinal
G{ l% T / ,Waterheater / Slop Sink
Z Shower /1 Grease Trap
_ Floor Drain l Local Waste
Laundry Tub Site Drain .r—
Disposal / Laundry Standpipe
_2/� / Dis asher Catch Basin
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i 3//7/9 - "7 / , /
** violation notes on the reverse aid , 0 � . _ r. ?
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