HomeMy WebLinkAbout0006171-Plumbing
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION A~D RECORD
06171
TYPE:BLDG D HTG D ELEC D PLBG~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
~~~~E~ - - - - - - - - - - - - W - - ~;2/~-' - - - - " - - . - - - - - - ~~N ~~- - - - - - - - - - -
(--;;,) C~; I~ * rh~A~/ /rk
OWNER
DESIGNER
USE/NATURE OF WORK
1"'9-4 :?~ &-- cP-
/C24-e ~~7
,
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC 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
r /}/Cd
/
_Sink
Other
_FDr
_ LTub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
- Eject - SS, k- Water.
/ - .rP'l ~ /U.$ P?r-p _
. I
,iI
FEES, Valuation $~ ~e'm;1 Fee ;~Id$.. 5-- /
ISSUED BY _- Date /1;;;4 7
Park Dedication $
Final/O.P. /(-13~'g7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r:;;L ~~~-/#~
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNE R
NATURE OF WORK
PLUMBING PERMIT APPLICATION
DATE ;!~~1
PLUMBER I r/ 2.d
PERMIT if t:J1: / 7/
SAN SEW iF iF
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toile't Sump P1.lmp
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain ">
f III/jig? Shower Laundry Stand p~pe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Founta~n
Wa.ter Heater Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sidel