HomeMy WebLinkAbout0024006-Plumbing (standpipe)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
24006
,TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG Ji1 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
9;< (,
If,
Z;::Lr
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ~ /1<"'-> ~ tr
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.,
Height
Occupancy Permit
Foundation
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
5?~ ~-J
1
PLUMBING CONTRACTOR
wF-
L-..- _BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink -L b+l.lb II C AJ _ Eject _SS _ Water
Other
ISSUED BY
~~S-:O~
t.J~
Permit Fee Paid $
Date
/
10. 0 0\-/
b - ,2 7-7'/
Park Dedication $
Final/O.P.
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE5c.brniJ+ vb I? peef by /9M.)ful~
AGE TIOWNER
6-21-7/
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
NATURE
PLUMBING PERMIT APPLICATION
9~(, ~ .. DATE y-/ - :7~T# .2:DO~
~ PLUMBER S '" tJ~
OF WORK ~ ~ 1" ~ g.s- '-'-
NEW RELAY REPAIR TERIOR
. /J!!) ~
SAN SEW iF iF
WATER Bathtub Catch Basin
~TORM SEW Lavatorv Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste -
;JOt! ~'--~g/9/ Sink(other) Site Drain
Shower I Laundry Stand Pipe
Floor Drain Laundry Trav
Disposal Wat. Softner
Dishwasher D. Fountain
Water ReCiter Ejector
TTrinals Future outlets
t** Violation notes on the reverse sidel
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