HomeMy WebLinkAbout0015588-Plumbing (interior)~ CITY OF OSHKOSH H° 15588
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~. SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ Y 3 ~ 3~~~/ ~>/~ ,~, C__ ~ PLAN NO.
OWNER CGa ~~ c -v2~~
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
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
PLUMBING CONTRACTOR ~
9~ BT ~ W H
~Lav ~ Sh
WC ~ FDr
.~ Sink ~ L~
Other
Volts
Circuits
Height _
Occupancy Permit
BTU'S
Amps
.~ Disp
DW
SP
Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
7~
.~
FEES: Valuation $ ~~~ Permit Fee Paid $ ~L~~- Park Dedication $
ISSUED BY ~~~'- Date %z'S`~" ~ Final/O. P. ~~ -~ ~l "~`,1
In the performance of this work I agree to perform all work pursuant to rules anverninn tha ~pCCrlhp~I Construction.
SIGNATUF
ADDRESS
Sq. Ft,
9--~5 ~
DATE
TELEPHONE #
PLUMING PERMIT APPLICATION
ADDRESS °2
OWNER -L'~,1~' G1~~'IpL~rt -
NATURE OF WORK
DATE ~~-~~ PERMIT ~~ 1 S ~~_
PLUMBER
NEW RELAY REPAIR INTERIOR
SAN SEW ~~ ~~
WATER ~ athtub Catch Basin
NORM SEW avato Grease Tra
Toilet ( Sum Pum
PECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink other) Site Drain
~~ G}/Z~ ~,-
~/C~~ Shower { Laundry tan pipe 1
~~ ~
~~
l ~ ( Floor Drain Laundry Tray
PJ Su~+~.p ~;~ ~.a ~~ / Disposal + Wat. So trier
3 -
r lQ~ Dishwasher D. Fountain
~
~ ~
J
4~ ~ ~G`~'"" ~"~~ °"~' j Water-Heater Ejector'
,~ ~ ~' Urinals Future outlets
** Violation notes on reverse side