HomeMy WebLinkAbout0014761-Plumbing (interior) (4.1-1.) CITY OF OSHKOSH N°_ 14761
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 3( 6 e,L PLAN NO.
OWNER i 2 — . / Zl)( 2 t.
DESIGNER
Ale c
USE /NATURE OF WORK C..J S4 Z c��t-1 / t /L1-S/ X i /.24.�1 / Aff
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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 i. _ 1/ AL
4 BT WH Disp WSoft CBasin
" Sh DW DF San. Sewer
2 WC FDr J SP Ur Storm Sewer
Sink L 1_1111g, Eject SS Water
Other
/27 c /
FEES: Valuation $ 352) Permit Fee Paid $ i Park Dedication $
ISSUED BY Date 2 cf7 Final /O.P. /1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
1 ta ' ...41,,,A. -' 1% S
SIGNATURE d �� fl
AGENT /OWNER r DATE
ADDRESS
TELEPHONE #
2 �PLUMB19C PERMIT APPLICATION
ADDRESS 7 J / 0 / Dyc l DATE i( 1 / 4 74
OWNER )( � ° / PERMIT# //f 7,( ! - 7 74/ LZ / PLUMBER 29 PL- �: >--,."Th
NATURE OF WORK re- 57
NEW RELAY REPAIR INTERIOR
SEW Ilf11111Mmiell
WA R
.;I _ ® Bathtub Catch Basin
Grease Tra.
it ON DA INSPECTION DATE 1 Toilet I S P
Local Waste
NI Sink other - Site Drain
U — 1276F7 v F Drain ■, Laun•ry S tan • Pipe
/ � La t
Dis
ICS IN t. Softner
n Dishwasher 1111 D. Fountain
Effector
�� / _ t° � � . Future outlets
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