HomeMy WebLinkAbout0024799-Plumbing (grease trap)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
24799
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT
::N:E:~ - - - - - - - ;;r~?L;~- - ~~7 ~~- - - - - - - - - - -
DESIGNER
~~~~1';Z::;
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
fJ.
~:~~WSOft
_DW _DF
_BT
_WH
_Sh
_ CBasin
_San. Sewer
wdk~
_Lav
_Sink
_FDr
_ LTub
_SP
_Ur
_ Storm Sewer
_WC
_ Eject
_SS
_ Water
Other
I
t/
FEES: Valuation $ '70 0 ~ C (l
ISSUED BY W ~
Permit Fee Paid $
Date
/,O~OC
Park Dedication $
Final/O.P. &,.- 7 -<-11
g--/2 -7'/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE_~ 1 ~ 'Gm".."
ADDRESS (3 "2b Pn~ st.
l?112!~'
DATE
A ,,12 - cr ~""Ze , :rue
f
?'3\-4'71.{~
TELEPHONE #
ADDRESS
OWNER
NATURE OF WORK
<: ptiJMBING PERMIT APPLICATION
G- 0-7"/
Q f<.
DATE
pERMIT 4F ,;z ~? ;;'>;9
&.7L
SAN SEW 4F 4F
WATER Bathtub Catch Basin
STORM SEW Lavatory / Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
F o - '/ -9/ Sink(other) Site Drain
Shower Laundry Stand p~pe
Floor Drain Laundry Tray
Disposal Wa t. Softner
Dishwasher D. Founta~n
Wa,t~r Rea ter Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sidel