Loading...
HomeMy WebLinkAbout0033700-Plumbing (exterior) S��/ CITY OF OSHKOSH N° 33700 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS �� C'� � PLAN NO. OWNER `� DESIGNER USE/NATURE OF WORK 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 � —BT —WH —Disp —WSoft CBasin � —Lav Sh —DW —DF ( San. Sewer �� � � —WC —FDr SP —Ur Storm Sewer —Sink —LTub —Eject —SS �Water � �`� Other e o FEES: Valuation $ � b � � � Permit Fee Paid $ °z ` � � Park Dedication $ ISSUED BY � Date 'r��/S-3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE'�/�L!�����✓ ��/�'�'S J .j1 � S� ��� g� � AGENT/OWNER DATE . ADDRESS �� � ✓�'`'��� �?/s��"% �>'�r /���� E<<.� . �L�G� %is✓G�9'��c,l� � TELEPHONE# � ' ' � t O�' ,� PLDI�INC PEB�? APPLIC.ITION ADDRESS `��°� �, L � DAT� �- 1 � -j 3 �3 J6 �' PERI'Q?� owNEB ��� � � PL�L'R �� C�-�- v :1ATIIRL' oF GTQRR �S` — C� � � % / NETJ RE7.AY REPAIIt O8 SAN SEf�T S�tPv C � � �A�R Ba�� Sum Pu , Lavata Ej ector Toilet Water Softener SPECTZON DA� INSpECI'ZpIQ DpT,g Rit. Siak Drinkin Fountain Siak(other � �'w �' -�� W te heater Slo Sink ��n I u � D G ease Tra 6'(i ' '�' ( a �� Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ** Violatien note• on ttie rever�e �ide