HomeMy WebLinkAbout0006016-Plumbing
~
CITY OF OSHKOSH N2
PERMIT- APPLICATION AND RECORD
06016
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING.
FLOOD PLAIN
HEIGHT
~~~R-E~~ - - - - - - - - - - ~. - ;;~~ ~ ;i-~-?~kr- - - - - - - - - - - -- - ~L~~ ~~- - - - - - - - - - -
OWNER ~~/ A<,/e~
DESIGNER
USE/NATURE OF WORK
~'?d -A../
~
sr-
~;~ /4..~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
gBT -I-WH
g Lav _Sh
3 WC LFDr
-L- Sink -t L Tub
Other
M~
-I- Disp
-!-DW
.~SP
_ WSoft
_DF
_ CBasin
_San. Sewer
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water.
FEES: Valuation $
ISSUED BY
~m;t Fee Pa;d $ j"~~ '
Date 'If. ~
Park Dedication $
Final/O.P. / .,2../';"9 /t! 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~ar.L tJ ~~ ::tt- ~ 'l..- Zrf'
I~/,-, t,k 7
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNE R
NATURE
. 4.~G PERMI:A:PLI9~~t
;?;}C L~_ PLUMBER / ~~
OF WORK ~u-/ S' ~
PERMIT# O(c)l6'
f1-1
SAN SEW if if
WATER -2 Bathtub n Catch Basin
STORM SEW .g Lavatorv ill Grease Trap
~ Toilet III '7 Sumo Pump II
INSPECTION DATE INSPECTION DATE f Kit. Sink ( '" Loc al Waste
elev- CA-t/f {()lrd"/ril Sink(other) Site Drain
Shower I Laundry Stand Pipe I
Floor Drain I , Laundry Tray
/ /.2/"zq !g; Disposal I Wat. Softner
Dishwasher I D. Fountain
Water Heater i Ejector
Hrinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on the reverse side]