HomeMy WebLinkAbout0007443-Plumbing (basement bath)
-_h''-'~''''':'_",_
~
CITY OF OSHKOSH N!!
PERMIT - APPLICATION AND RECORD
07443
TYPE: BLDG D HTG 0 ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
~~~R-E~~ - - - - - - - ~;-;~ - -~-/-.~- - - - - - - -" - - - - - - - - - ~~~ ~~- - - - - - - - - - -
~?,1 ~0<
OWNER
DESIGNER
USEMAT~:;:t~~J~1:;;:::~~A'~~~,n// #474rd
~,..A," . ..'^",' ,. "'~"'h''''-
1----..".-
.1
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
'# Stories
Class of Const.
Height
Occupancy Permit
Foundation
HEATING 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
/? ~
601/UA// ~
_BT
-L Lav
--.L WC
_WH
-LSh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_FDr
_Ur
_ Storm Sewer
_ Water
_Sink
Other
_LTub
_ Eject
_SS
FEE.S' valua'~ "20-- "
ISSUED BY ". ~
/'
~/
Pe,mi' Fee paido:,e '~ ~
Park Dedication $
Final/O.P. ,qAk
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~lfrr< ~'G"'_,"
~ - :2/.... 9-:?--
DATE
ADDRESS
TELEPHONE #
. . .1.. . .
"
PERMIT1'f:
67C/C/3
ADDRESS
4-UMBING ""
4!:r1 CL ' ;~:ER
NATURE OF WORK /'~. ( h~.AA~~;:f-
NE1-l RELAY
OWNE R
..
SAN SEW ifF I ifF
WATER . Bathtub Gatch Basin
STORM SEW "tE Lavatory Grease Trap
J Toilet Sumn Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
I Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disnosal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
TTrinals Future outlets
REPAIR
INTERIOR
1** Violation notes on the reverse sidel
ADDRESS
OWNER
NATURE
-i!:.. aUMBING PERMlT APPLICAT% .
~~~O_ . .::;: (. . .^ DATE 3 i(~tf &. ERMIT1ft
C1.-~ ~ A , PLUMBER ___-~A'_1. '~" _ ~
OF WORK L(,~//: Uf c:-~/ -A~~ h /~tl-'l Ii #" -76 'l-O
NEW RELAY REPAIR INTERIOR
SAN SEW 1ft 1ft
WATER Bathtub Catch Basin
STORM SEW t Lavatory Grease Trap
I Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Was te
bCX~0 f bed/-- Sink(other) Site Drain
I Shower Laundry Stand Pipe
Floor Drain Laundry Tray
3/7k /oVCv-c/ Disposal Wat. Softner
~uC Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
-3
** Violation notes on the reverse side