HomeMy WebLinkAbout0018368-Plumbing (deduct meter)~ CITY OF OSHKOSH N° 18368
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ `~ GI ~ ~ ~• PLAN NO.
OWNER ~ r ~ ~
f1F~I~NFR
USE/NATURE OF WORK 1~n S~ l / ~SpC~/C ~ I~~1°~ ~ t° jam'
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR r
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
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
- Disp WSoft CBasin
DW DF -San. Sewer
SP Ur Storm Sewer
-Eject SS Water ~5!- / L° r
FEES: Valuation ~ .
Permit Fee Paid $ '~
/~' ~
C
Park Dedication $
ISSUED BY ~ ate d
a ~ Final/O
P
.
.
In the performanc this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR ~ r~
AGENT/OWNER D TE
ADDRESS ~ l c~ t 1^ ~~ ]~Z.~~~ 9 lam) l ' ~ ~ ~~ / ~ ~[ l 7
TELEPHONE #
ADDRE S
of ~I
S
D
OWNER
NATURE OF WORK
PLUMBING PERMIT APPLICATION
v~ DATE ~,~~~~~ PERMIT~k ~~~~~
PLUMBER C~GcJr~~p
SAN SEW ~ ~~'
WATER Bathtub Catch Basin
EW Lavatar Grease Trap
Toilet Sum Pum
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
,~/ /
~
~
l Sink(other) Site Drain
°a4~-~ ~„z'y°~-~--"
"
~ ~"~'~'~" ~.S Shower Laundry Stand Pipe
M~ ~~,5-- ~jt~"
~k Floor Drain Laundr Tra
~~
`'/ Dis osal Wat. Softner
~ , ~975~,~/ R ~'O8•~ v Dishwasher D. Fountain
/ _ ~~
~ -~Ec1 3~c,1~ Water Heater Ejector
~
~`~` 'n is Future outlets
-
3 ~~~~
** Violation notes on the reverse side
NRW RF.T.AV RF.PATR TNTERIOR