HomeMy WebLinkAbout0022735-Plumbing (interior)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
22735
TYPE:
BLDG 0
SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
USE/NATURE OF WORK
17,67 h C:s~
6-~l ~
flJ~ ~r~- ~P;-
PLAN NO.
ADDRESS
OWNER
DESIGNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
..
Heat 0 NC 0 Vent 0 Fuel/System
I
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
_ Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
?---BT ~ WH
1Lav -LSh
-> WC ~FDr
iSink ( L"fab Jtcw
L-U~
~DiSP
~DW
-'- SP
_ WSoft
_ CBasin
wk
_DF
_ San. Sewer
_Ur
_ Storm Sewer
_ Water
_ Eject
_SS
Other
FEES: Valuation $ 9- S-~ ~ .00 Permit Fee Paid $ t g. 0 0
ISSUED BY W ~ Date 3/2- ::7-/::7/
/ /
Park Dedication $
Final/O.P. 6'f-zzft(j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~.A
\
I~.-
1I AGENT/OWNER
-=3 - "Z- -z.. -'11
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNE R
NATURE
~~PERMIT APPLICATION
:!:tfJ':Z!'T" :~:E;~~#V-S
OF WORK P &t AJ ') r--
NEW RELAY REPAIR INTERIOR
?-/735
PERMITiF
,..., .. /'
,
-"<
/
K"T
SAN SEW iF iF
WATER J,- Bathtub 1/ Catch Basin
~TORM SEW -q; Lavatory /1/1 Grease Trap
"J. Toilet III I Sumo Pumo I
INSPECTION DATE INSPECTION DATE I Kit. Sink I Local Waste
CC'?~ ~o .~~ Y:~/I-.P/ Sink(other) Site Drain
I Shower I I Laundry Stand Pipe .,
F .. S-~):2-9/ I Floor Drain I Laundry Tray 1
I Disposal I Wat. Softner
I b:- f'4:H I Dishwasher , D. Fountain
-:2:- I I 1 Water Heater I Ejector
. .~ lTrinals Future outlets
It
~!
'W
..~'" ~~CJI(S-,J.?-WI.7
~(AJ . - R.~ .iJ!: /U
on the reverse side