Loading...
HomeMy WebLinkAbout0021039-Plumbing (misc.)CITY OF OSHKOSH N4 21039 n PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS '~ 7 PLAN NO. OWNER DESIGN ~®, USE/NATURE OF WORK /w~ ~ BUILDING CONTRACTOR Size Sq. Ft. Foundation Height . Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System # Rooms # Stories Class of Const. Heat Loss ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches Receptacles . Volts Circuits BTU'S Amps PLUMBING CONTRACTOR ~ ~ '\ ~"~'~"~ BT WH Disp WSoft CBasin Lav ~ Sh DW DF ~ San. Sewer ~~ P[OG- ~ WC ~ FDr SP Ur -Storm Sewer -Sink LTub Eject SS ~ Water ~~r ,~~ -~i~ Other ~~ ~7 ~ FEES: Valuation $ ~~~©' b Q Permit Fee Paid $ S ~ ` " ~ Park Dedication $ ISSUED BY ~ ~~G Date ~~r ~~9a Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER ADDRESS l6 --/~91~ DATE ~F--~[2~ TELEPHONE # ADDRESS ~'r~ OWNER v '~~' NAT'ORE OF WORK -S~~ ~~ PLiJMBING PERMIT APPLICATION ' DATE ~ ~ J1 -~° .PERMIT ~k ~ IG 3 PLiJNIBER NEW RELAY REPAIR INT ERIOR SAN SEW ~'~ UC ~k ~~ WATER /'' athtub Catch Basin STORM SEW avato Grease Tra Toilet Sump Pum ,INSPECTION DATE INSPECTION DATE Kit Sink Local Waste Sink other) Site Drain ~ ~~ ~~> ! Shower Laundry Stan pipe _ ~~ , S _ o ~ Floor Drain Laundry Tray Disposal Wat. So tner C _ J ~ c ~ Dishwasher D. Fountain ~ l Water-Heater Ejector ~,~Q,.yy„~~ ~ d y(~_,~~_ ~~ Urinals Future outlets vl ** Violation notes on reverse side