HomeMy WebLinkAbout0020452-Plumbing (bath remodel)~ CITY OF OSHKOSH N°_ 20452
` PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD- PLAIN - HEIGHT- _
ADDRESS ~ ~ ~ PLAN NO.
OWNER O -~'''~°"-
DESIGNER ®~-~
USE/NATURE OF WORK ~ _~'~~C~lt~t.e-a-~,-~~
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
Heat Loss
# Stories
Class of Const.
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
~ BT WH
~ Lav Sh
r WC FDr
-Sink LTub
Other
FEES: Valuation $ /~ ~ ° ' c~-o Permit Fee Paid $ l~ ~ ° ~ Park Dedication $
ISSUED BY ~~-~J/ ~~-t=~~- Date ~l'~ ~ /~ "~~J Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
Disp
DW
- SP
-Eject
Volts Amps
Circuits
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
Height .
Occupancy Permit
BTU'S
# Rooms
• ~'
DATE
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS _ ~ ~~~ /~-~ DATE ~ _' / ~ e g~ PERMIT ~~ ~®~~~
/~ R
OWNER ~%~ Q~,~,~~~ ~~~ PLUI~ER ~ ~ ~~ %L~
NATURE OF WORK
NF.W RF.T.AY RF.PATR TNTF'RT(1R~
SAN SEW ~~ ~k
WATER athtub -- Catch Basin
STORM SEW avato Grease Tra
Toile t.- Sump Pum
N CTION DATE INSPECTION DATE Kit Sink Local Waste
~j Sink other) - Site Drain
~4- ~~/;~ ~`~v Shower - Laundry tan pipe
Floor D-rain- Laundry Tray
Disposal - Wat. So tner
Dishwasher- -: D. Fountain
Wa.t2r -Heater Ejector'
Urinaks -- Future outlets
** Violation notes on reverse side