HomeMy WebLinkAbout0026173-Plumbing (dishwasher)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26173
TYPE: BLOG 0 HTG 0 ELEC 0 PLBG~' SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
f?7S- /~~ Lr
D~ C~~
PLAN NO.
ADDRESS
DESIGNER
~~~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Con st..
Height
Occupancy Permit
Foundation
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
,(1\
J(~
~?LUMBING CONTRACTOR
_BT
_WH
_Sh
_ Disp _ WSoft
~DW _DF
_ CBasin
_ San. Sewer
w tIC-
_Lav
_WC
_FDr
_ L Tub
_SP
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
FEES: Valuation $
S-6 0 ~. c, a ~ermit Fee Paid $
L--.J ~~ Date
/
/ <:) . 0 . c/
/ I - 7 - 9,/
Park Dedication $
Final/O.P. ') -;;; :3 -9 I
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
ADDRESS
7/7
~/ j?ht'/
/
~~~. 5f:::~
AGENT/OWNER
~Lb
//- ZJ 7- 9/
DATE
...:? -3 / - z1.71/ tJ
TELEPHONE #
SIGNATURE
7~L:
PLUMBING PERMIT APPLICATION
ADDRESS /?PS ~ eJ-. DATE s-- '" OS -'?/ PERMI~ #
OWNER O~~ ~~ PLUMBER L ;J.J~~ (
NATURE OF WORK R ~ () LU (S'""O () .~)
,;)c;/?3
K~L~
SAN SEW 1/ 1/
WATER Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toile"t Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
5-';;'.J -7/ Sink(other) Site Drain
.01( Shower Laundry Stand p~pe
~ Floor Drain Laundry Tray
Disposal Wat." Softner
f:.'i-- I Dishwasher D. Founta~n
" 1
Wa.tt:!r ... Rea ter Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse side)