HomeMy WebLinkAbout0020072-Plumbing (interior)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
20072
TYPE: BLDG D HTG D ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
./~7/4/4i WCJj~7Sc~
~6~/ d 4&/~
PLAN NO.
OWNER
DESIGNER
USElNATURE OF WORK ,f1/'UAj 5/14':; C d:'-?,L,,'/ ~ ~zce: r~4&<o~~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR /~5~
~ BT -I- WH --L Disp
d..- Lav +- Sh -L OW
ZWC LFDr -/-SP
* Sink -L L'T'tlb-... _ Eject
Other
.e
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
It( /
6~.(T>> C-/ ~ V/
FEES: Valuation $ U U v Permit Fee Paid $ .70
ISSUED BY ~~ Date ~-;;'I-?o
Park Dedication $
Final/O.P. L.J -J J -9 (
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~ -4-. ~
AGENT/OWNER
~--~l ~D
DATE
ADDRESS
TELEPHONE #
~","""T""',=-"'~-'--~'>""'- .
~~NG PERMIT APPLICATION
ADDRESS ~I t ~~~2 b;frAc DATE Y(J=~ .
OWNER ~t8-t/ _~_ __:_ - PLUMBER t,,/'If'Z/ ~
NATURE OF WORK tVlIA_/ Sf?
NEW RELAY REPAIR INTERIOR
PERMITifF .20~? 2-.
~
SAN SEW ifF ifF
vJATER I Bathtub f Catch Basin
~TORM SEW J- Lavatory 1/ Grease Trap
~ Toilet II I Sump Pump ,
-INSPECTION DATE INSPECTION DATE I Kit. Sink / Local Waste
~ tAJlo ~?~ 2/~/~ I Sink(other) ftJaA/ I Site Drain
I Shower I I- Laundry Stand Pipel
I Floor Drain I Laundry Tray
00 $? --3 - "0 I Disposal -6 Wat. Softner
f Dishwasher I D. Fountain
F 71-/1- 9/ I Water Heater 1 Ejector
Tlrinal s Future outlets
1J1G-
t** Violation notes on the reverse sidel