HomeMy WebLinkAbout0027267-Plumbing (r p valve)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
27267
TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
DESIGNER
fl~~~~
~ t(f~~
PLAN NO.
ADDRESS
OWNER
USE/NATURE OF WORK
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
V I~
_Disp _ WSoft
_OW _OF
_SP _Ur
_ Eject _SS
~ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
w~
_BT
_WH
_Sh
_Lav
_WC
_FOr
_ LTub
_Sink
Other
ISSUED BY
/
()7:::> CJ.6 d Permit Fee Paid $ F ~ 0 ~ ~rk Dedication $
L0 ~ Date ;2. - '7 -? -;L Final/O.P. J - ;;J ) - '1 9
FEES: Valuation $
SIGNATUR
ADDRESS~
rm all work pursuant to rules governing the described construction.
DATE
~'f5~
TELEPHONE
ADDRESS
OWNER
NATURE
PLUMBING PERMIT APPLICATION
;2ss<::> g~~ DAn //-/5'-9/
C;j r( () ~ _ PL1JMJlER 0 Ik-~
OF W ~-f /(. p. f. - (J, .';: fJ
NEti RELAY REPAIR INTERIOR
?-7;2t,7
PERMI'Ifft F~ OJcu.~
SAN SEW
WATER
~F.tJ
DATE
I
Bathtub
Lava tOry
'l'oilet
Kit. Sink
Sink(other)
Shower
Floor Drain
Dist)osal
Dishwasher
Water Heater
TT_~.. 4.' 8
fI:
INSPECTION
DATE INSPEcnON
Catch Basin
Grease Trap
, S IJt1U) PUl1m
Local Was te
Site Drain
Laundry Stand hpe
Laundrv Trav
Wat. Softner
D. Fountain
Ejector
Future outlets
r
/1-<;/ Jt
I . ..
I/V./~Z~
1** Violation notes on the reverse side~