HomeMy WebLinkAbout0024280-Plumbing (interior)/`'~ CITY OF OSHKOSH N? 24280
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ ~ ~ 3 ~ ~'"~~l PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK ~~~~
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Ciass of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
~'BT yWH ~isp
Lav - Sh DW
WC ZFDr ?'SP
"Sink _ LTub ~ Ejec/t~
Other ~ "' /~ C G..~ ~~~~-~-~d',
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
v
EES: Valuation $ ~~ ~ ~ • O ~ Permit Fee Paid $ 9 6 • ~ ~ Park Dedication $
ISSUED BY ~"~ '~ Date ~ ~"~6 '-9/ Final/O. P. b - ~~ -~i
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ''~~6„Gl
AGEN /OWNER DATE
ADDRESS
TELEPHONE #
PLUMING PERMIT APPLICATION
ADDRESS I~g~ '~ ~3 ~'" DATE `~-~ - ~1 PERMIT ~k ~ f~°~-~zs
OWNER G PL R
NATURE OF WORK ~~-~ _
NEW RELAY RF.PATR TNTRRTl1R
SAN SEW # ,~~
WATER athtub~// Catch Basin
STORM SEW avato /J Grease Tra
Toilette Sump Pum /
NSP CTION DATE INSPECTION DATE 2-Kit Sink / Local Waste
~~ ~ ~_, ~9_ ~, ~ Sink other) Site Drain
~-
3 Shower Laundry tan pip //
- Floor Drainer // Laundry Tray
>
~
~~ ~ ~
~~~ Disposal / Wat. So tner
/
~~ ~ ~
~
~ Dishwasher D. Fountain
/ /
~ Water Heater Ejector
/~ J `. Ja '"~5, Urinals Future outlets
** Violation notes on reverse side ~ C ~ ~ ~~._~ -
~~-~oC o-x.~
~- _ ~