HomeMy WebLinkAbout0018412-Plumbing (interior)~ CITY OF OSHKOSH N° 18412
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ ~ ~T~ /~7'~• PLAN NO.
OWNER i n ~~~T~~r
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
# Rooms # Stories
Class of Const.
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR ~
BT 'Z-WH
Lav .~ Sh
WC ~ FDr
Sink ~ L'~vb
Other
Disp
DW
-L SP
Eject
Height .
Occupancy Permit
Volts Amps
Circuits
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
Storm Sewer
Water
~3~~
ov ~ ~
FEES: Valuation $ Permit Fee Paid $ ,l~ Park Dedication $
ISSUED BY ..l/L~, ~ / Date ~ ~~- p~ Final/O.P. /~ ~~~~`~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~~~ ~~a ~,,ri~ r~~/~~ L~/~n/~.~ l' ~'"~/ - 9a
AGENT/OWNER DATE
ADDRESS
Sq. Ft
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS ~3~ t i c~~~ls C'-~ DATE "e~ ~ / , ~~ /P/E RMI T ~~
UWNER -- ~.-~.. G~~ (P' ~~~^_ PLUMBER I%il~~ ~l h~
NATURE OF WORK d.,w ~ ~'
NEW RELAY REPAIR INTERIOR
°^-~
F~
~.K Iw.
** Viola ion notes on reverse side
SAN SEW - ~k ~~
WATER athtub / Catch Bzsin
STORM SEW avato N// Grease Tra
Toilet / Sump Pum •/
N PECTION DATE INSPECTION DATE Kit Sink Local Waste
,L ~ ~ ' 3 "~v Sink other) Site Drain
Shower ~ Laundry tan pipe
~~yy -,'%~//j ~ Floor Drain /// Laundry Tray
~ Disposal/ Wat. So tner
0~ ~~j
pD` Dishwasher/ D. Fountain
ZWa.ter Heater// Ejector
Urinals Future outlets