HomeMy WebLinkAbout0015179-Plumbing (interior)/~ CITY OF OSHKOSH N°_ 15179
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG J~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~ PLAN NO.
OWNER 1/~ o~~ L., ~ ~ C ~T~ f
DESIGNER
USE/NATURE OF WORK /~~%'L~ ~S/1~c~/ti° ~y~/~ ,/j`l.<"/ ` ~~~b_ ~~
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
Fixtures Switches Receptacles
F'LUMt31N(a GUNTRAGTOR ~
'3 BT ~ W H
3 Lav Sh
3 WC ~ FDr
Sink .~ LTA
Other
Disp
/~ DW
SP
-Eject
Volts Amps
Circuits
FEES: Valuation $ ~8 Permit Fee Paid $ ~~`"~ Park Dedication $
ISSUED BY Date ~' ~ ~ ~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE !7~'-T/w- ui p ~-MOwS/~' PS ~0 ;G/~~i~SS~~~~~fri..~oL4tl ~ ' Z~- ~~
AGENT/OWNER
ADDRESS
DATE
TELEPHONE #
w5ott ct3asln
DF San. Sewer
Ur -Storm Sewer
SS Water
PLUI~IN~ PERMIT APPLICATION
ADDRESS -~ 11 ~ DATE 7 - ~L
OWNER ~°/C l- PLUI~ER
NATURE OF WORK
NEW RELAY RF.PATR TNTF.RT(1R
PERMIT~k IT ~ ~
SAN SEW q~ ~6
WATER Bathtub batch Basin
SEW 3 Lavato Grease Trap
3 Toilet Sum Pum
INSPECTION DATE INSPECTION DATE ~ Kit. Sink Local Waste
Sink other) Site Drain
~ J ~/?~'/~ Shower Laundry Stand Pipe
v ~ b Floor Drain Laundr Tra
Dis osal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
' al Future outlets
** V'olation notes on the reverse side