HomeMy WebLinkAbout0020071-Plumbing (interior)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
20071
TYPE: BLDG D HTG D ELEC D PLBG 8: SIGN D ZONING
FLOOD PLAIN
HEIGHT
USE/NATURE OF WORK
/ ? t S- ~4- i (k.a.-), h-yS'c-L PLAN NO.
6::z~et~d~d~/t
~</ d7*;jt{ ~;4 //l(';~ ~~ 6'::J
ADDRESS
OWNER
DESIGNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Con st..
Height
Occupancy Permit
Foundation
,
HEAilNG 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
-L BT -I- WH
fLav -LSh
_WC LFDr
-I- Sink ---.L LTub
Other / - b>IAA^ctv.J
(' I'
4,h?%~j
--I- Disp
-LDW
-Lsp
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
I/'
~~
FEESo Valuation $ . ~:--
ISSUED BY , r-/'
Park Dedication $
Final/O.P. 1/- 1 - 71)
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~I-4~'~~ .
AGENT/OWNER
t' - )... ( -<10
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLl.CATION
ADDRESS
OWNE"R
2Lo/:~:t'-Yfr~
DATE 7-/0 -?"6
PLUMBER Ld~~.5
PERMIT if ~?(
NATURE OF WORK ;I./e.-<-j
,
, <) JZ-
.
NEW
RELAY
REPAIR
INTERIOR
SAN SEW
WATER
STORM SEW
if
if
INSPECTION
DATE
INSPECTION
/ Bathtub I
Lava tory //1/ I11I
~ Toile'tlll 1/1
DATE rl)Ki t Sink f
Sink(other)
Shower!
Floor Drain
,Disposal
-/ Dishwasher
Wa,t:er Heater
Urinals
Catch Basin
Grease Trap
fh Sump Pump
Local Waste
Site Drain
CD Laundry Stand p1pej
CD Laundry Tray /
Wa t. Softner
D. Founta1n
Ejector
Future outlets
. R r &' -/f/~9tJ - 0(11
tJ~. (!) t( & -.;2 '/-90
'r c;;-o ?
'"
.-~ . 17 h-;ei-o ~~V
reverse side
C" )'1 J 1:W
. .,- (70, . ' 'F U en..... d-r~r.'
.~-::::;J))- Lf y/J,c.0. :'
c:::::ov~;j / :/;?~
F 011-