Loading...
HomeMy WebLinkAbout0021102-Plumbing (interior)n _CITY OF OSHKOSH N° 21102 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~ ~30 ~ PLAN NO. OWNER ~~=~„C ~~ 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 Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~ / ~BT ~ WH ~ Disp WSoft CBasin ~ 3 Lav _ Sh ~ DW DF _ San. Sewer '~ WC ~ FDr f SP Ur -Storm Sewer Sink ~ LTub -Eject SS -Water Other ~- ,/ FEES: Valuation $ ~°'~ a ~ ©0 Permit Fee Paid $ ~ ~ ~ ~ Park Dedication $ ISSUED BY ~ C~aC~%c~~ Date ~~ 'Z 3 ~~ Final/O.P. ,Q `~~~5 ~~_ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ._ JO..~ 3-- AGENTIOWNER DATE ADDRESS TELEPHONE # ADDRESS ~~-3 ~ ~WNE R ~ NATURE OF WORK ~ NEW Y R ~~ PLUMBING PEyRGMIT APPLICATI-ON/~. -Cites[ DATE __~~~~~Z~.l~ ,- ERMIT/k ~//b~-. PLUMBER _ / RF.T.AY RF.PATR TuTFU'rnn SAN SEW /p ~k WATER Bathtub catch Basin SEW Lavator Grease Trap Toilet/ Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink/ Local Waste ` ~ Sink other) Site Drain ~ ~~g ~h ~ Shower / Laundry Stand Pipe ~,/~~ 9~ C7 Floor Drain~ Laundr Tra i ~ Dis osal/ Wat. Softner ~_, ~ ~~~~5/9c Dishwasher D. Fountain ~ Water Heater/ Ejector finals Future outlets ** Violation notes on the reverse side / r f r1 a.~~ ®c X7r3., 3.~ D.~~ks- /~., ql -' SLR- /9~ ~9G9 / ~ ---=~ ~/