HomeMy WebLinkAbout0026636-Plumbing (bath & kitchen remodel)
_c_~~_'~~~_=7'"=_~'C"~~--,",,__-'-'--'----'~---'C--"~~-T
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
26636
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
~~~~E~~ - - - - - - :; ~ -~- -fil-~ - - - - - - - - - - - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - -
OWNER ~J~ t ~7
DESIGNER I ~
USE/NATURE OF WORK tfi cr ~~ ~~
BUILDING CONTRACTOR
t.
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
tel
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
PLUMBING CONTRACTOR
~BT _WH
~Lav _Sh
~WC _FDr
LSink _LTub
Other
j'~~
_ Disp _ WSoft
_DW _DF
_ CBasin
_ San. Sewer
w~
_SP _Ur
_ Eject _ SS
_ Storm Sewer
_ Water
FEES: Valuation $ ~6, toe> " Permit Fee Paid $
ISSUED BY W ,~~ Date
J
16.00/'/
/.?--I/'-//
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
~-:, ~
SIGNATURE
ADDRESS
DATE
TELEPHONE #
"-,..,
ADDRESS
.:
OWNER
NATt.1RE
~('~PLUMBING PERMIT ~ PL ICATIO~c ~
~ _ _ DATE /0 r ,;2 S' - 9/ PERMITfF
~J.~ PLUIlBER S~
OF WORK ~ 4- .' .-zJL -' ~
NEtV' RELAY REPAIR INTERIOR
?~ & ?,.G
SAN SEW fF iF
WATER I Bathtub Catch Basin
SEW I Lavatorv Grease Trao
I Toi le t I Sumo Pump
INSPECTION DATE INSPECTION DATE I Kit. Sink Local Waste
Rr / v""J Ii Sink(other) Site Drain
Shower Laundry Stand hpe
Floor Drain Laundrv Trav
Distlosal Wat. Softner
Dishwasher D. Fountain
Wat"er Heater Ejector
.. . ... Future outlets
1** Violation notes on the reverse sideI
hrr~~<~~ ~?-'~W