HomeMy WebLinkAbout0005663-Plumbing
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
05663
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
(:/57> &cL-/ er-
G, 1Jec ~e--
PLAN NO.
ADDRESS
DESIGNER
USEINATURE OF WORK pC<.-' . <' ~ ( ,frA <<<\~
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 ~.~../If"t/'t's
--2; BT -I- WH -!- Disp
2-Lav _ Sh -+ DW
--2, wc -I- FDr -I- SP
-L Sink + ~ _ Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
)
~ ~/
FEES, Valuation $ 3/)<(f? Permit Fee Paid $ 3~_~? ~
ISSUED BY h-4---r?'"&.~ Date~
(
Park Dedication $
Final/O.P. "/~. rc. -tl
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L-C aJL, U ~ .k:- {; '2 -z-CY
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
iJec /.0/' PLUMBING PERMIT APPLICATION
ADDRESS I /,?O Or<~a/L-/ </ DATE 7/~61J;; PERMIT ffio5t(,3
OWNER P1er-~/ tf-evr~C't:.. PLUMBER W~y
NATURE OF WORK A4./~../ 5?-
fA
SAN SEW 1F 1F
WATER .2- Bathtub if Catch Basin
STORM SEW :z. Lavatory If GreaSe Trap
:z To i let II I Sump Pump f
INSPECTION DATE INSPECTION DATE f Kit Sink Local Waste
Slro!?) Sink(other) Site Drain
,b Shower J Laundry Stand p~pe I
F II hat'if7 110 I- re t:l 7 I Floor Drain I Laundry Tray
I Disposal , Wat. Softner
ktfc k/vv-- Ital C<fVVJP~ frj I Dishwasher I D. Founta~n
I Water Heater I Ejector
tf((.(r; Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
(** Violation notes on reverse sidel