HomeMy WebLinkAbout0040926-Plumbing (interior)CITY OF OSHKOSH
PERMIT -APPLICATION AND RECORD
~`d
N°--40926
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
-----------Q------------ -------------------------------------------
ADDRESS U ~ ~ PLAN NO.
OWNER
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories Height
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
Volts Amps
Circuits
PLUMBING CONTRACTOR
l BT ~ WH ~ ' Disp _ WSoft - CBasin G~~~
~ Lav ~' Sh ~ DW - DF -San. Sewer
~ WC ~ FDr ~ Sp - Ur -Storm Sewer
Sink ~-LI~ /~-GGI~ _ Eject - SS _ Water
Other
FEES: Valuation $ "3~ ~ ~ ~ ~ Permit Fee Paid $ `~~ ~ O ® Park Dedication $
ISSUED BY ~ Date ~ ~~ Final/O.P. ~~~ - ~ 7
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATUR ~..~ ~ ~--
AGENT/OWNER SATE
ADDRESS
TELEPHONE N
~1
8~ .J
OWNEB
NA7.ZIBE OF T~JORE
~38~7.od - ~'S`~.oa ~~
PLDI~ING PE81~T Ag~LICATION
DATE ~3 / 9 PEffi~?# ?"2j Jn~'
PLEB
t~t~ oa~T ev v~ n T~
# #
~JATER / Bathtub
Sum Pu
Lavato Ejector
Toilet Water Softener
ON DATE INSPECIZON DAZE / Rit. Sink Drinkin Fountain
~~ r~/~y Siak(other .
T 15 W to heater Slo Sink
~~ ease Tra
~~
°7
'C ~ ~~r~i ~ ~ / ~'~ ~~,-
~ Floor Drain Local Waste
+~ Laundry Tu
Site Drain
b ~ ",,~. ~
t Dis osal / Laundr Stand i e
{ ,,
.,
i Dishwasher f Catch Basin
bj }i"'
~ ~ cf E
** Violatien note on ttis revere side