HomeMy WebLinkAbout0010018-Plumbing (correct orders)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
10018
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
~/2 -7;QA
C~~4~M<~
PLAN NO.
ADDRESS
DESIGNER
re.7y'"V-~c~r~
~<J
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 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
PLUMBING CONTRACTOR
4;~~~
_WC
_FDr
_ L Tub
_ Disp _ WSoft
_DW _DF
_SP _Ur
_ Eject _ SS
/"---/./1--'1 A _'_
I. ---
_ CBasin
_ San. Sewer
_ Storm Sewer
_Lav
_WH
_Sh
_BT
_Sink
Other
_ Water
/
~~ ~
FEES: Valuation $ uv . _~ermit Fee Paid $ J
ISSUED BY ,--.:7z::r~-- Date If - ..2f'/sr
Park Dedication $
Final/O.P. '1- S -"15<6
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
/-.
c~~
1 AGENT/OWNER
J/~'t Cefa>
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
NATURE
PLUMBING PERMIT APPLI~
c:2/2. TZJA . DATE ~
COVV1~;;!X4-r P!UMBER ~4A
OF WORK. ~ - ~~v-,
NEW RELAY REPAIR INTERIOR
PERMITiF / C/O /0
SAN SEW iF ib
WATER Bathtub Gatch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand Pipe
11drri Floor Drain Laundry Tray
f Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
{** Violation notes on the reverse side}