HomeMy WebLinkAbout0024967-Plumbing (interior)P _CITY OF OSHKOSH N° 24967
ERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~j SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~~ ~~.
_ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Senr. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Volts Amps
- Circuits
PLUMBING CONTRACTOR ~-~
- BT _ WH _ Disp _. WSoft CBasin
Lav ~ Sh _ DW _ DF _ San. Sewer
WC ~ FDr _ SP - Ur _ Storm Sewer
-Sink _ LTub Eject ~ SS _ Water
Other ~ _ /~ C Cc~
FEES: Valuation $ ~~ ~ ~ • ~ ~ ~ ~ • o b
Permit Fe
P
id
ISSUED BY
~ e
a
$
~ D
~ ^~ 3 ~ ~l
t Park Dedication $
a
e Final/O. P.
In the performance of this work I agree to pejjrform all work pursuant to rules governing the described construction.
`'~/~
SIGNATURE
AGENT/OWNER
DAT
ADDRESS
# Stories Height
Class of Const. Occupancy Permit
Heat Loss
BTU'S
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS ~~~ %/~~^- DATE g ~-~~ ~ `~~ PERMIT~k °~ ~~~ ~
OWNER zs'e ,~ PLUMBER ~- '`~
NATURE OF WORK G~a .~~ ~~ ~-- ~- -« -
NEW RELAY REPAIR v INTERIOR
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ri
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S
** 'o p lion notes o the reverse side
SAN SEW ~' 9~
WATER Bathtub batch Basin
Lavato Grease Trap
Toilet Sum Pu
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
~ _~ 7 Sink other) Site Drain
, /~ Shower Laundry Stand Pipe
i
~
~~/ ~' ~ 7 Floor Drain Laund Tra
Dis veal Wat. Softner
Dishwasher D. Fountain
/ Water Heater Ejector
a Future outlets