HomeMy WebLinkAbout0022734-Plumbing (interior)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
22734
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
17~:;L l)~
DESIGNER
USE/NATURE OF WORK d~ S,F f< - ~ t-I7/
PLAN NO.
ADDRESS
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
~
HEATING CONTRACTOR
Heat 0 NC 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
_Sh
LFDr
-'- LHtb /few
w~-
'D'
_ ISp
~DW
-'- SP
_ WSoft
_ CBasin
L-0 /C--
PLUMBING CONTRACTOR
~T 1WH
-fLav
3wc
~Sink
_DF
_ San. Sewer
_ Eject
_SS
_ Storm Sewer
_ Water
_Ur
Other
l6 yV
FEES: Valuation $
$: ~t) 0 .0 6 Permit Fee Paid $
L0~
&> Y:D <l
~/~?/9 /
Park Dedication $
Final/O.P. c;, -- 1'-1- q I
ISSUED BY
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~Lr~
\ AGENT/OWNER
~--z.'Z--41
DATE. .
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS /7L:U.- 6...e:_ Q~ DATE '///:;/:7/ PERMIT#
OWNER ~_G-~~ A f PI;UMBER, ?tJ~~
NATURE OF WORK --a~ s: r- i? - ~ ~L P7'
NEW RELAY REPAIR INTERIOR
;2-;:273 r
,
SAN SEW if/: if:
WATER ~~ Bathtub II Catch Basin
~TORM SEW t/ Lavatory 1/1/ Grease Trap
.-> Toilet III J Sump Pumo I
INSPECTION DATE INSPECTION DATE 7 Kit. Sink I Local Waste
<<5;;1;1- <-J/o~ r -1/- CJ I Sink(other) Site Drain
Shower 1/ / Laundry Stand P1.pe /
~ :J ~r y- JI-7j I Floor Drain I Laundry Tray /
, Disoosal I Wat. Softner
r &-/y I Dishwasher I D. Fountain
I Water Heater I Ejector
TTrinals Future outlets
.3 . ." ~.i'-S~
:'/~, I (-L-r-
1** Violation notes on the reverse sidel
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