HomeMy WebLinkAbout0006303-Plumbing (interior) CITY OF OSHKOSH No 06303
4)y PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 5 /-4.2 7 A __SO7.4 /Rig/( PLAN NO.
OWNER L i 4
Y
DESIGNER
USE /NATURE OF WORK 1 t f l )0 4 2 4API./ theI
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 Volts Amps
Fixtures Switches Receptacles Circuits
4
PLUMBING CONTRACTOR A—#: L I. Ill
2 13T WH 2 Disp oft CBasin
3 Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
,.Sink LTub Eject SS Water
Other
or..—
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY �r�/ Date 07 Final /O.P. 9 Gp� 4, O a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
s S
SIGNATURE 4 1 C 000 6 1 6 y ll /E7 0
AGENT /OWNER DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION
ADDRESS Z2V222 t S 414.• DATE G PERMIT 01.3 03
Ai
OWNER 1 7/e 7 PLUMBER Y't�► k-74.1 l NATURE OF WORK 6a
NEW RELAY REPAIR INTERIOR
SAN SEW I
WATER g Bathtub 11 Catch Basin
STORM SEW Lavatory 10 Grease Trap
3 Toilet if Sump Pump
INSPECTION DATE INSPECTION DATE.. Kit Sink i Local Waste
///2-0 /j Sink(other) Site Drain
k� Shower Laundry Stand pipe t
PC. 3// 'f Floor Drain In l Laundry Tray 1
Disposal Wat. Softner
r 0 V /g p L Dishwasher j D. Fountain
,x Water Heaters Ejector
"z
OLG 2 Qre.�S f Urinals Future outlets
W c' omt, f"t q
Viol tion notes on reverse side