HomeMy WebLinkAbout0018279-Plumbing (sewer)i
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~ ', CITY OF OSHKOSH
~' PERMIT -APPLICATION AND RECORD
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No 18279
NFI(;HT
ADDRESS ~ ~~~ ~ PLAN NO.
OWNER ,~ /`d~lY~d
DESIGNER
USE/NATURE OF WORK ~ ~~ ~ ~' Pt~J-~~ ~'%~2Qt-rJ /~~p1ti
BUILDING CONTRACTOR
Size Sq. Ft. ' # R t
Foundation oms # Stories Height
Class of Const. Occupancy Permit
HER.TING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^
Fixtures Switches ' Rece Type Volts Amps
ptacles Circuits
PLUMBING CONTRACTOR ~~ ~ / ~ ~' =--c~ e~.~S
BT WH II Disp
Lav Sh DW
WC FDr '~, SP
Sink LTub I Eject
Other WSoft CBasin
DF ~ San. Sewer y
Ur ~ Storm Sewer 'y ~~
SS ~ Water ~ .
~I I
FEES: Valuation $ ~ y Permit Fee P
ISSUED BY ~f/~ti"Zi~'" aid $ Park Dedication $
Date ~` / ~l0 Final/O.P.
In the performance of this work I agree to perform all wo
. ~ ~/_^
SIGNATURE `~~~~ y i
~ AGENT/OWNER
ADDRESS k pursuant to rules governing the described construction.
'/ ~~ ~ Q J 3 0~~ /~,9d
~ DATE
TELEPHONE #
PLUMING PERMIT APPLICATION 7q
ADDRESS ~~~- ~~ ~~~ ~''~~~Q DATE ~~ ~ -PE RMIT~~ ~~`-Z ! -!
OWNER L ~a t--w ~ e g ~E7r'a'~cc-rte~ PLUMER ~~ %~! ~
NATURE OF WORK , ~" cf- t~~t/ J ~T,
NF:W RELAY REPAIR INTERIOR
SAN SEW ~ 4~ ~
WATER ~' Bathtub Catch Basin
0 SEW `~ - Lavator Grease Trap
Toilet Sum Pum
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
- Sink other) Site Drain
•.. Shower Laundry Stand Pipe
~3~_ .~~ ~ Floor Drain Laundr Tra
3~ Dis osal Wat. Softner
`
~ ~° Dishwasher D. Fountain
Water Heater Ejector
'pals Future outlets
** Violation notes on the reverse side