HomeMy WebLinkAbout0006600-Plumbing
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
06600
TYPE: BLDG D HTG D ELEC D PLBG J&. SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/72{j &-c/~/Z-/C:r
C (7V1/:/ ~e/~e-
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
kvrfy/
/2A
&;l~~2 77 /a.?~rl1~11 ~03 ;?9~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
M/If~
-I- BT
LLav
Lwc
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_FDr
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
FEES: ValuaUon ~ - ~
ISSUED BY ~
:- /
Permit Fee Paid $ -,
Date /~Iir/57
Park Dedication $
Final/O.P. Y/~~A7
, .
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 17-. {? d tJG;~' 4i- G "2 l~
AGENT/OWNER DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
NATURE
PLUMBING PERMIT APPLICATION
!!.20 Orci"7/ t':~ DATE ;r;,ykl
G 17'>1 /1_/ LJ e e ' <?A.-.---
OF WORK . .~
PERMIT it
6t6cnJ
SAN SEW it it
WATER !Bathtub Catch Basin
STORM SEW .'""Lava tory Grease Trap
Toilet Sump Pl.lmp
INSPECTION DATE INSpECTION DATE \.- Kit Sink Local Waste
Sink(other) Site Drain
Q" 7~oI8? ~ Shbwer "- Laundry Stand p~pe
Floor Drain r~ Laundry Tray
76?!vR; Disposal Wat. Softner
/J1j;Y//1/u:::1 (~( Dishwasher D. Founta~n
Water Heater Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
!** Viola tion notes. on reverse sidel