HomeMy WebLinkAbout0040645-Plumbing (interior)~ ~r
/~ CITY OF OSHKOSH No ~~~
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRE~
OWNER
DESIGNI
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
PLUMBING CONTRACTOR
BT ~ WH
Lav ~' Sh
~WC `~FDr
~ Sink ~ LTub
Other 1 c
-~-?'~a s
~" Disp
DW
?'SP
Eject
Volts Amps
- Circuits
WSoft
DF
Ur
SS
~ ~" C°s~~
~`~~ >! !~
- CBasin ~4
-. San. Sewer
- Storm Sewer
- Water
~~~~_ ~
FEES: Valuation $ ~ f ~ ~ ~~ - '~~ ~ Permit Fee Paid $ ~ • ~ ~ Park Dedication $
ISSUED BY ~;%~~ Date ~`~ ~ Fi
l
na
/O. P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ~ r '7 3 ~ Z~ ~~~ S /~~J'~
G NT/OWNER DATE
ADDRESS
TELEPHONE #
~ .,
_ .~ PLNIIDZNG PEBI~'T APPLICATION
~,aaRESS r3`'~-~r ,~-C ~ .~ - any G .~- ~ ~ P~a~T~
owNgR ~ PLUMES rte'
NATURE OF WORE i'
N1R.'I O1P AV DL9 A TO TAf'R~?9T A4
~~ ~~
AN JL17 ~ T
WATER Bathtub Sum Pu
Lavato ~+~ Ejector
Toilet ( Water So tener
SP ON DAZE INSPECTION DAZE ~ Kit. Siak
Drinkin Fountain
Siak(other
7
Cs /~~ W to heater Slo Sink
"~ ~ ~ G ease Tra
~' '~ i~ ~ ~ ~ ~ a ~~ ~ ,:_~' "2 Floor Drain Local Waste
r ~ ~i" ' ~
~ Laundry Tu ~ Site Drain
~
;~ 3
.?~' ,-- r"'~ ~ ~ ~ ~ ' Dis osa1+Z~~ Laundr Stand i e
/
~~'-~~.~'~ r 1~.% ~~ y~ Dishwasher Catch Basin
„ i`~.
~,~ ... ~
n ~ f 4
** Violation r verse • d ~o '`" ' -'' `°
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