Loading...
HomeMy WebLinkAboutPlumbing (interior) CITY OF OSHKOSH N� 19611 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �OJ SIGN ❑ ZONING FLOOD PUIIN HEIGHT " " " ' _ ' _ " " " " ' _ _ ' " " ' _ " " " " ' _ " ' _ " _ " " " " " " " " ' _ " " " AD�RESS ��a� O L� /� Q Q C f{/�Q� PLAN NO. OWNER � R, f /� U G DESIGNER USE/NATURE OF WORK /�/ �w S r BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Consl Occupancy Permit HEATING CONTRACTOR Heat ❑ NC ❑ Vent ❑ FuelBystem Heat Loss BTU'S ELECTRIC CONTRACTOR Eiectnc Serv. New ❑ Change ❑ Temp ❑ Type— Volts— Amps FiMures Switches Receptacles Circuits PI IIMRWf` ('ONTRACTOR �R6. R X ? �S �V �BT ZWH � Disp WSofl CBasin Z Lav �Sh �DW —DF San. Sewer �WC �FDr �SP —Ur —SlormSewer � Sink �LTub Ejed SS Water aner —� Sr�p� ISI�' ` !/ b. ou FEES: Valuation $ �S/0�00,/�/ O permit Pee Paitl $ �/�'�� Park Dedication $ ISSUED BY ` �C^-°'�' Date 7 �S pa Final/O.P. ��'/'Zg/9� In lhe paAormance oi �his work I agree �o pertorm all work pursuant �o rules governing ihe described consiruction. SIGNATURS til'�il �Carfl�''� /��'��� �fl� �-ar-�o / PGENT/OWNEfl OATE A�DRESS '��r �100 lA1is, n,.�sa� .n �t � �r � 757G�oFS(o 3 PLUMSING PERMIT APPLICATION aflnxess 3, zzo /�/� Ov���� onre � �`/' �`� rsarax Ik l%�d OWh:.R /�/� � PLUMBER ��u_�,GLvt c'� NATllRE OF WORK /'✓/� ,,�� � NEW RELAY REPAIR INTEAIOR SAN SEW �� �k WATER ath[ub Ga[ch Basin STORM SEW � Lava[or � Grease Tra .. Toilei Sump Pump INSPECTION DATE INSPECTION DATE Ki[ Sink Local Waste � g�(.y�r{) � � Si[e Drain i �r � /'� - � Shower Laundry S[an pipe / FLoor Drain � Laundey Tray �. � . - � / Disposal Wa[. So [ner Dishwasher D. Foun[ain � U� lt7,d/� Wat�r Heater Ejector i Urinals Futuze ou[le[s ** Vialation no[es on reverse side �