HomeMy WebLinkAbout1993-Plumbing (city re-hab) �/�
N°_ 35608
� _ CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � -�'� PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK � � -� �� �--
BUILDING CON7RACTOR
. 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 —Disp —WSoft —CBasin �
�Lav � —Sh —DW —DF —San. Sewer
—WC —FDr _SP —Ur —Storm Sewer
�Sink _LTub —Eject —SS —Water
Other
FEES: Valuation $ ��b� ' d � Permit Fee Paid $ �� ' � � Park Dedication $
� ��� -���--3 Final/O.P. ��������
ISSUED BY Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
�
SIGNATURE ��
� ' A WT/OWNER DA �.
ADDRESS �. v • �� L_�� 1 �'����� �'V�
TELEPHONE#
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� PL�INC PERMI? dPPLIC.ITION
�DDRESS °'Z DpTE � �zs �3 FERPQT# 3��C3 �
�8 PLDl�ER
' NATQRE OF WOR�
I'�Ei� RE Y RHPAIR INTEHI08
SAN SEW � #
' �tATER Bathtub
Sum Pu
' I.avato Ej ector
Toilet Water Softener
p � ��E IIQSPEC1ZOlq DATE ! Rit. Sink Drinkin Fountain
Siak(ottier
� � g �d W te heater Slo Sink
e se Tra
Floor Drain Local Waste
� 9ra �/�� Laundry Tu Site Drain
� Dis osal Laundr Stand i e
- Dishwasher Catch Basin
I) Gti''�-}f}- C t��
�-) j=� Q.�R..�• �-,-T�P ti�C-�
** Viol'*;�., .,..«__ on ttie reverse ide