HomeMy WebLinkAbout0042052-Plumbing (2nd floor)
"t
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
YY6
N~-42052
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG,aJ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
c?-1115 ~r-
7 ~ u(f
:::::::E OF WORK (~
PLAN NO.
OWNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D 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 WSoft _ CBasin /$/
3 Lav
_Sh _ow _OF _ San. Sewer
Lwc -L FOr _SP .:2- Ur _ Storm Sewer
-'- Sink _ L Tub _ Eject _SS _ Water
Other
FEES: Valuation $ (; S-OO . <0 d
~
Permit Fee Paid $
Date
Park Dedication $
Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
f){ ,Pf~~ tII1/<
, ENTIOWNER
/o-;o-qLj
DATE
ADDRESS
TELEPHONE #
ADDREsSc::l1 /0 ~
CMNER l- ~ fi
RA~ OF ~01UC ~
NEtl RELAY REPAIR
PLUMBING PEDIT APPLIC;X,
DA1:! :3.3 .7'<./
~ / /14/
PEBHIT#
Y'yo
0,203~
SAN .SEW . I I
wATER Bathtub Sump PUIllP
gm ;? !.avatOrT Ej ector
:? Toilet Water Softener
!NSPECTION DAn: msncnON DAn: I Kit. Sink DrinkinQ Fountain
Sink( other) 2- TTrin:l.l
I Waterheater Slop Sink
C'J..,~T.T~" Grease Tran
/ Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
Dishwasher Catch Basin
nrrEllIOR.
** Viqlation notes on the reverse side{